Lisa Tatom, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT122817 Issued in TX

Practice address

319 W 50TH St
Odessa, TX 79764-4115

Phone

(432) 638-2653

Fax

(432) 614-9650

NPI assigned

May 11, 2016

Last updated

May 11, 2016By the provider in NPPES

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

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1376999169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W 50TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797644115",
            "telephone_number": "432-638-2653",
            "fax_number": "432-614-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W 50TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797644115",
            "telephone_number": "432-638-2653",
            "fax_number": "432-614-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATOM",
        "first_name": "LISA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT122817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Manriquez Lujan M.S., CCC-SLP, PLLC (West Texas Speech Therapy)
• David Tarabocchia, CRNA
• Jennifer Tarin Heredia
• Hina Tariq, MD
• Christina Selene Tate, LVN
• Bobby Neil Taylor I, D.D.S
• Brendyn Taylor, DO
• Pamela Denise Taylor, MS.CCC/SLP
• Michael C Terry, DC
• Shayne L Terry, MA, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.