Active NPI
Mindy Marie Daehn, LMT
- Massage Therapist
- Sulphur Springs, TX
National Provider Identifier
1568023208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT100725
- Practice address
- 1501 Holiday Dr
Sulphur Springs, TX 75482-4707 - Phone
- (903) 335-8727
- NPI assigned
- Jun 24, 2019
- 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 | MT100725 | TX | Primary |
Addresses
Primary practice location
1501 Holiday Dr
Sulphur Springs, TX 75482-4707
Mailing address
641 Mitchell St
Winnsboro, TX 75494-2081
Phone (903) 307-9821
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 |
|---|---|---|---|
| MT100725 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Physical Therapy | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Sulphur Springs, TX
- NPI 1629356787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1568023208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 MITCHELL ST",
"city": "WINNSBORO",
"state": "TX",
"postal_code": "754942081",
"telephone_number": "903-307-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HOLIDAY DR",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754824707",
"telephone_number": "903-335-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAEHN",
"first_name": "MINDY",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT100725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur Springs, TX
- Custom Care Pediatric Home Health
- Curtis W. Cutrell, M.D.
- CVS Pharmacy Inc (CVS Pharmacy #07439)
- Cynthia a McClure King MD PA
- D Israel Lewis Inc (Sulphur Springs Christian Counseling Center)
- Daniel Lawrence, DDS, PC
- Daniel Siriphongs DDS, PLLC
- Tracie Lynn Dannheim, LPC
- Darren J. Arnecke M.D.,P.a.
- David D. Martinez MD, DMD, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.