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Larry D Rogers JR.
Massage Therapist in West Hollywood, California
NPI 1053180984

Larry D Rogers JR. is a Massage Therapist based in West Hollywood, CA. Larry D Rogers JR. practices in West Hollywood, CA. The NPI Number for Larry D Rogers JR. is 1053180984 and holds a License No. 67091 (California).

The current practice location address for Larry D Rogers JR. is 1204 N Formosa Ave Apt D, West Hollywood, CA and can be reached out via phone at 818-839-1709.

Location: 1204 N Formosa Ave Apt D, West Hollywood, CA, 90046-6185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053180984
Provider Name
Larry D Rogers JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1204 N Formosa Ave Apt D, West Hollywood, CA, 90046-6185
Phone Number
818-839-1709
Fax Number
Provider Enumeration Date
12/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1204 N Formosa Ave Apt D
City
West Hollywood
State
California
Zip
90046-6185
Phone Number
818-839-1709
Fax Number
person
Provider Business Mailing Address Details
Address
1204 N Formosa Ave Apt D
City
West Hollywood
State
California
Zip
90046-6185
Phone Number
818-839-1709
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
67091 (California)
Definition
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.
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