Type 2 organization · NPI 1003135815
MEDICAL MASSAGE THERAPY
111NR0400X · PORT ARTHUR, TX
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 111NR0400X | 111NR0400X | Primary |
| 283X00000X | 283X00000X | Additional |
| 305R00000X | 305R00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s