PENNIE VINCENT CMT NPI 1780091322

NPI Information

  • NPI: 1780091322
  • Provider Name: PENNIE VINCENT, CMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 903 1/4 W 57TH ST
    LOS ANGELES, CA
    ZIP 90037
  • Phone: (323) 577-9375

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NPI Details

Pennie Vincent, CMT is a massage therapist in Los Angeles, 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. Pennie Vincent, CMT NPI is 1780091322. 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:

903 1/4 W 57TH ST
LOS ANGELES, CA
ZIP 90037-397
Phone: (323) 577-9375

The enumeration date for this NPI number is 7/15/2014 and was last updated on 7/15/2014.

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 Therapist55025CALIFORNIAYes

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: 3/30/2025

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