Perry Lake, LMT/CMT
NPI 1790443398 · Massage Therapist · San Angelo, TX
Perry Lake, LMT/CMT is a Massage Therapist provider in San Angelo, TX (NPI 1790443398).
Provider details
- NPI number
- 1790443398
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT/CMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6711070-4701 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Frequently asked questions
- What is Perry Lake's NPI number?
- Perry Lake's National Provider Identifier (NPI) is 1790443398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Perry Lake's specialty?
- Perry Lake is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Perry Lake located?
- Perry Lake's practice location on file with NPPES is 1101 S David St, San Angelo, TX 76903-7249.
- What is Perry Lake's phone number?
- The practice phone number listed in the NPPES registry for Perry Lake is (208) 241-1632.
- Is Perry Lake's NPI active?
- Yes — Perry Lake's NPI (1790443398) is active in the NPPES registry as of the last update on 2021-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.