Provider Demographics
NPI:1215541909
Name:CLAAR-REASER, CARA (LMT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:CLAAR-REASER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4042 NW 19TH ST APT F106
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-7044
Mailing Address - Country:US
Mailing Address - Phone:954-303-3272
Mailing Address - Fax:
Practice Address - Street 1:4042 NW 19TH ST APT F106
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-7044
Practice Address - Country:US
Practice Address - Phone:954-303-3272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA61332225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist