IndividualActive
Alexander Lacson, CMT
NPI 1003653353 · Massage Therapist · Clovis, CA
Provider details
- NPI number
- 1003653353
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CMT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1385 Shaw Ave Ste 102
Clovis, CA 93612-3949
Phone: (718) 551-2564
Approximate (ZIP-level) locationGet directions
Mailing address
1385 Shaw Ave Ste 102
Clovis, CA 93612-3949
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.