Marisa Alonso, LMT MMP
Individual provider Active NPI Massage Therapist · Rockwall, TX
NPI 1306242102 · NPPES record last updated Nov 6, 2014
Key facts
- NPI
- 1306242102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 045827 (TX)
- Practice address
- 801B E I30
Rockwall, TX 75087-5506 - Phone
- (214) 686-3650
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045827 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 045827 | TX | Yes |
Addresses
Primary practice location
801B E I30
Rockwall, TX 75087-5506
Mailing address
801B E I30
Rockwall, TX 75087-5506
Phone (214) 686-3650
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2014. 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.