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

Tanya Lisa Frederick, LMT

Individual provider Massage Therapist · NPI 1396591814

Tanya Lisa Frederick, LMT is a Massage Therapist in Loma Linda, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

25040 Stewart St
Loma Linda, CA 92350-1723
Phone: (909) 206-9191
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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 43612 (CA)

Record details

NPI number1396591814
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

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