Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tarese Douglas, MT

Individual provider Massage Therapist · NPI 1770491557

Tarese Douglas, MT is a Massage Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
Specialties on file
2
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

1419 E 110th St
Los Angeles, CA 90059-1123
Phone: (323) 371-7729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X
Massage Therapist Taxonomy 225700000X · Licence 97641 (CA)

Record details

NPI number1770491557
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedAugust 31, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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