Organization · NPI-2
180 Massage Therapy, LLC
Massage Therapist · El Paso, TX
NPI number1891407607
StatusActive
Last updated in NPPESDec 23, 2022
Details
- NPI
- 1891407607
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Massage Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Dec 23, 2022
- Certification date
- Dec 21, 2022
- Last updated
- Dec 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
10600 Montwood Dr Ste 101El Paso, TX 79935-2713
Phone 915-479-6534
Mailing address
10600 Montwood Dr Ste 101El Paso, TX 79935-2713
Phone 914-479-6534
Authorized official
Monica I Garza
Massage Therapist
1522224615
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