Mikel David Gonzales, LMT, CMLDT
Individual provider Active NPI Massage Therapist · Buffalo, TX
NPI 1023966736 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1023966736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT137017 (TX)
- Practice address
- 1520 E Commerce St
Buffalo, TX 75831-7751 - Phone
- (903) 907-0150
- NPI assigned
- Mar 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT137017 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT137017 | TX | Yes |
Addresses
Primary practice location
1520 E Commerce St
Buffalo, TX 75831-7751
Mailing address
1520 E Commerce St
Buffalo, TX 75831-7751
Phone (903) 907-0150
Other providers in Buffalo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.