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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

NPI Number 1003135815
LBN Legal business name MEDICAL MASSAGE THERAPY
Authorized official VICTORIA AKACHUKWU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2010
Last updated 09/30/2010 - About 16 years ago
Identifiers
TX License # 109921
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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