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Contact Information

MEDICAL MASSAGE THERAPY
3100 MEMORIAL BLVD
PORT ARTHUR, TX77640-2734
 Phone: 409-201-1964
 Fax: 409-982-9090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
 

Preferred Provider Organization

305R00000X
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for MEDICAL MASSAGE THERAPY · (Female)

NPI Number 1003135815
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2010
Last updated 09/30/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 109921
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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