Active NPI
Latoya Tancrede, LMT
- Massage Therapist
- Killeen, TX
National Provider Identifier
1497575096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 128863
- Practice address
- 1010 W Jasper Dr Ste 6
Killeen, TX 76542-1328 - Phone
- (254) 232-6522
- Fax
- (254) 488-3110
- NPI assigned
- Oct 16, 2024
- Last updated
- Nov 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 128863 | TX | Primary |
Addresses
Primary practice location
1010 W Jasper Dr Ste 6
Killeen, TX 76542-1328
Mailing address
PO Box 690224
Killeen, TX 76549-0004
Phone (512) 619-5191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128863 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metanoia Sage PLLC | Massage Therapist | Current | Accepting new patients |
Locations
1010 W Jasper Dr
Ste 6
Killeen, TX 76542
Phone (254) 526-6151
1509 W Stan Schlueter Loop
Killeen, TX 76549
Phone (254) 680-7774
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1497575096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690224",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765490004",
"telephone_number": "512-619-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W JASPER DR STE 6",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765421328",
"telephone_number": "254-232-6522",
"fax_number": "254-488-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCREDE",
"first_name": "LATOYA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "128863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.