MRS. LOLA HERNDON NPI 1497354104

NPI Information

  • NPI: 1497354104
  • Provider Name: MRS. LOLA HERNDON
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 844 WILSHIRE DR
    BELLEVILLE, IL
    ZIP 62223
  • Phone: (314) 380-4202

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NPI Details

MRS. Lola Herndon is a massage therapist in Belleville, IL. 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. MRS. Lola Herndon NPI is 1497354104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

844 WILSHIRE DR
BELLEVILLE, IL
ZIP 62223-623
Phone: (314) 380-4202

The enumeration date for this NPI number is 10/22/2020 and was last updated on 11/10/2020.

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
1225700000XMassage Therapist2014031513MISSOURIYes

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: 11/21/2025

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