Arwen Boyer-Earll

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT013666 Issued in TX

Practice address

204 Bowles Dr
Hurst, TX 76053-6621

Phone

(682) 559-8767

NPI assigned

Dec 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608854400000",
    "number": "1366039265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BOWLES DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536621",
            "telephone_number": "682-559-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BOWLES DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536621",
            "telephone_number": "682-559-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER-EARLL",
        "first_name": "ARWEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-25",
        "last_updated": "2020-12-25",
        "certification_date": "2020-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT013666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "puresourcemassage@myabmp.com",
            "affiliation": "N",
            "endpointDescription": "ABMP e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "204 Bowles Dr",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760536621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Bonomi Gay, LCSW
• Annie M Botchway, FNP
• Lindsi Boulette Bourgeois, M.S., CCC-SLP
• Bowman TC LLC
• George William Boyd IV, LCSW
• Thomas L Boyle, PHD
• Jeffry Alan Brace, D.O.
• Darian Iman Bradford, APRN, FNP-C
• Michael-David Robert Bradford, LPC
• Amy Bradley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; 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.