MEDICARE: REBECCA DESOTO LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	33.027338	OH

General Provider Information

NPI Number	:	1932034196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA DESOTO LMT

Provider Business Mailing Address
First Line	:	3821 LAKEBEND DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-2134
Country	:	US
Telephone Number	:	937-236-1705
Fax Number	:	937-236-1735

Provider Business Practice Location Address
First Line	:	3821 LAKEBEND DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-2134
Country	:	US
Telephone Number	:	937-236-1705
Fax Number	:	937-236-1735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ REBECCA DESOTO LMT” Practice Location

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