Hannington Massage, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MT2398 Issued in TX

Legal business name

HANNINGTON MASSAGE, LLC

Practice address

3212 Collinsworth St
Suite 14
Fort Worth, TX 76107-6580

Phone

(817) 405-9540

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Charles Kezengwa, LMT

Title

Chief Executive Officer

Phone

(817) 405-9540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1225450893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 COLLINSWORTH ST",
            "address_2": "SUITE 14",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 COLLINSWORTH ST",
            "address_2": "SUITE 14",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076580",
            "telephone_number": "817-405-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNINGTON MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "KEZENGWA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-405-9540",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "MT2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillan Hanks, PT
• Cindy Hanna
• William R Hanna, D.D.S.
• Rae Leen Hannah-Lyon, AGACNP-BC
• Mary R Hannaman, M.D.
• Craig Hannon, MD
• Harveen Dhillon Hans, DDS
• Danielle Elizabeth Hansell, PA-C
• Allison Barbara Hansen, M.D.
• Andy B Hansen Jr., RPH

• Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.