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

Simon Isaac De la Rosa, LMT/CMT

Individual provider Massage Therapist · NPI 1548947989

Simon Isaac De la Rosa, LMT/CMT is a Massage Therapist in San Antonio, Texas. Practices as a sole proprietor. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

623 Hemisfair Blvd Apt 611
San Antonio, TX 78205-3354
Phone: (210) 889-4635
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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 MT130587 (TX)
Massage Therapist Taxonomy 225700000X · Licence 84708 (CA)

Record details

NPI number1548947989
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT/CMT
Sole proprietorYes
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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