Individual provider · NPI-1
Nathan Barbosa, LMT
Massage Therapist · Dallas, TX
NPI number1639946585
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1639946585
- Entity type
- Individual (NPI-1)
- Name
- Nathan Barbosa
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 10, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 134304 | TX | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
7035 Greenville Ave Ste 101Dallas, TX 75231-5109
Phone 972-295-0155
Mailing address
831 Philadelphia StFate, TX 75189-4062
Phone 214-663-6681
Other practice locations
831 Philadelphia St
Fate, TX 75189-4062
Fate, TX 75189-4062
Phone 214-663-6681
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