Micki- Cruz Rodriguez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT121574 Issued in TX

Practice address

2213 W Lincoln St
Harlingen, TX 78552-5921

Phone

(956) 495-0402

NPI assigned

Jan 29, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Micki Cruz Trevino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Live Life Well LLC

  • Massage Therapist
  • Harlingen, TX
  • NPI 1417633058
  NPD

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1053124529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 MIDLANE DR STE 110",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523240",
            "telephone_number": "956-495-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 W LINCOLN ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785525921",
            "telephone_number": "956-495-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICKI-",
        "middle_name": "CRUZ",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT121574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKI",
            "last_name": "TREVINO",
            "middle_name": "CRUZ",
            "prefix": "MS.",
            "credential": "LMT, TECH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Anthony Rodriguez, BSN,RN
• Martha Laura Rodriguez, LBSW
• Melanie Marie Rodriguez
• Melissa A Rodriguez, LVN
• Micaela Marlena Rodriguez, LIFESTYLE COACH
• Miguel A Rodriguez, CRNA
• Miranda Alexis Rodriguez, LVN
• Natalia Rodriguez, LVN
• Ramiro Rodriguez, RN
• Raul Rodriguez III, LCSW

• Massage Therapist in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.