Organization Active NPI

Mind Body & Soul Massage

  • Massage Therapist
  • Horizon City, TX
National Provider Identifier
1043720733
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MIND BODY & SOUL MASSAGE
Practice address
125 N Kenazo Ave
Horizon City, TX 79928-5404
Phone
(915) 245-9741
Fax
(915) 245-9741
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Felisha Lea Smith, LMTNPI 1568901023
Title
Owner
Phone
(915) 245-9741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

125 N Kenazo Ave
Horizon City, TX 79928-5404

Mailing address

609 Valle de Bravo PL
Horizon City, TX 79928-4700
Phone (915) 245-9741

National Provider Directory

National Provider Directory

Locations

125 N Kenazo Ave
Horizon City, TX 79928
Phone (915) 245-9741

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1043720733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 VALLE DE BRAVO PL",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799284700",
            "telephone_number": "915-245-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N KENAZO AVE",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799285404",
            "telephone_number": "915-245-9741",
            "fax_number": "915-245-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY & SOUL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-245-9741",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.