Teresa Lacey

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT132723 Issued in TX

Practice address

2412 Old North Rd Ste 100B
Denton, TX 76209-1524

Phone

(817) 343-6213

NPI assigned

Dec 17, 2024

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": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1508673187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 PARK PLACE BLVD APT 707",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215850",
            "telephone_number": "817-343-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 OLD NORTH RD STE 100B",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091524",
            "telephone_number": "817-343-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 Mustang Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760511010",
            "country_code": "US",
            "telephone_number": "817-343-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEY",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT132723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Victoria Helena Kyger
• L-Evated LLC
• La Aten, PLLC
• Lise Amy Labiche
• Alicia Marie Lacey, RN, AGACNP
• Linda D. Ladd, PSYCHOLOGIST
• Valeria Laddaga Gavidia, BCBA
• Atajane Ladell
• Lakeland Healthcare Management
• Marlys Camille Lamar, PH.D.

• Massage Therapist in Denton, TX
• Providers in Denton, 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 17, 2024; 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.