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

Miss. Lacey Laverne Farah, ANMT

Individual provider Massage Therapist · NPI 1902413685

Miss. Lacey Laverne Farah, ANMT is a Massage Therapist in Pinole, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 Summit Dr
Pinole, CA 94564-1625
Phone: (707) 703-0997
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 43394 (CA)

Record details

NPI number1902413685
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANMT
Sole proprietorYes
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Other providers in Pinole