NPIMap

Organization Active NPI

Wal-Interest LLC

  • Massage Therapist
  • College Station, TX
National Provider Identifier
1407136500
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WAL-INTEREST LLC
Doing business as
Elements Therapeutic Massage
Practice address
3975 State Highway 6 S
College Station, TX 77845-5895
Phone
(979) 696-2000
NPI assigned
Aug 19, 2011
Organization subpart
Yes
Parent organization
SAMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Cliff Latham
Title
Owner
Phone
(979) 696-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3975 State Highway 6 S
College Station, TX 77845-5895

Mailing address

3975 State Highway 6 S
College Station, TX 77845-5895
Phone (979) 696-2000

Other names 1

  • Elements Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory
Part of
Wal-Interest LLC

Locations

3975 State Highway 6 S
College Station, TX 77845
Phone (979) 696-2000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1407136500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 STATE HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455895",
            "telephone_number": "979-696-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 STATE HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455895",
            "telephone_number": "979-696-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-INTEREST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAME",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-696-2000"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.