Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larry D Rogers Jr.

Individual provider Massage Therapist · NPI 1053180984

Larry D Rogers Jr. is a Massage Therapist in West Hollywood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1204 N Formosa Ave Apt D
West Hollywood, CA 90046-6185
Phone: (818) 839-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 67091 (CA)

Record details

NPI number1053180984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 20, 2023
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

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