Active NPI
Jungwon Lee
- Massage Therapist
- Lindale, TX
National Provider Identifier
1073422234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT143035
- Practice address
- 19228 US Highway 69 N
Lindale, TX 75771-6039 - Phone
- (903) 707-7426
- NPI assigned
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT143035 | TX | Primary |
Addresses
Primary practice location
19228 US Highway 69 N
Lindale, TX 75771-6039
Mailing address
18643 FM 16 W
Lindale, TX 75771-5526
Phone (903) 707-7426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1073422234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18643 FM 16 W",
"city": "LINDALE",
"state": "TX",
"postal_code": "757715526",
"telephone_number": "903-707-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19228 US HIGHWAY 69 N",
"city": "LINDALE",
"state": "TX",
"postal_code": "757716039",
"telephone_number": "903-707-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNGWON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT143035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.