Lake, Perry Lee
Lake, Perry Lee is an sole proprietor health care provider with primary practice located at 1101 S David St , San Angelo TX 76903-7249. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Lake, Perry Lee can be contacted via phone (208) 241-1632.Contact Information
Primary practice address
1101 S David St
San Angelo TX 76903-7249
Phone: (208) 241-1632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 6711070-4701 | Utah |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAS-3291 | Idaho |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT107775 | Texas |
Profile Details
| NPI number | 1790443398 |
|---|---|
| LBN Legal business name | Lake, Perry Lee |
| Credentials | LMT/CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2021 |
| Last updated | Dec 1st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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