Faithful Modalities Medical Massage LLC
Organization Active NPI Massage Therapist · Ingleside, TX
NPI 1295577047 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1295577047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Massage Therapist 225700000X
- Legal business name
- FAITHFUL MODALITIES MEDICAL MASSAGE LLC
- Practice address
- 2761 W Main St Ste 9
Ingleside, TX 78362-5751 - Phone
- (361) 502-1793
- NPI assigned
- Jun 12, 2024
- Organization subpart
- No
Authorized official
- Name
- Deavin Shaler-Macias, LMT
- Title
- Business Owner
- Phone
- (361) 502-1793
Practitioners 2
National Provider Directory
Locations
607 Railroad Dr
Portland, TX 78374
Phone (361) 502-1793
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
2761 W Main St Ste 9
Ingleside, TX 78362-5751
Mailing address
PO Box 1246
Ingleside, TX 78362-1246
Other providers in Ingleside, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. 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.