MEDICARE: EVANGELOS RAPTODIMOS 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	69471	CA

General Provider Information

NPI Number	:	1962354985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVANGELOS RAPTODIMOS LMT

Provider Business Mailing Address
First Line	:	29120 MEDEA LN APT 1306
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-6426
Country	:	US
Telephone Number	:	818-300-3221
Fax Number	:

Provider Business Practice Location Address
First Line	:	3675 HUNTINGTON DR STE 205
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-5645
Country	:	US
Telephone Number	:	626-228-5676
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ EVANGELOS RAPTODIMOS LMT” Practice Location

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