DECLAN LOUGH NPI 1144799818

NPI Information

NPI: 1144799818
Provider Name: DECLAN LOUGH
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2322 BUTANO DR STE 214
SACRAMENTO, CA
ZIP 95825
Phone: (916) 715-5755
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Declan Lough is a massage therapist in Sacramento, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Declan Lough NPI is 1144799818. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2322 BUTANO DR STE 214
SACRAMENTO, CA
ZIP 95825-657
Phone: (916) 715-5755

The enumeration date for this NPI number is 11/24/2018 and was last updated on 11/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		76275	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	76275	OTHER	CALIFORNIA	CAMTC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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