Massage Innovation, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT031907 Issued in TX

Legal business name

MASSAGE INNOVATION, LLC

Practice address

4615 Southwest Fwy Ste 135
Houston, TX 77027-7106

Phone

(713) 449-5493

Fax

(713) 662-9103

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

H. Rene Olivarez

Title

Licensed Massage Therapist/ Owner

Phone

(713) 449-5493

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609390517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277106",
            "telephone_number": "713-449-5493",
            "fax_number": "713-662-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 SOUTHWEST FWY STE 135",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277106",
            "telephone_number": "713-449-5493",
            "fax_number": "713-662-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE INNOVATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLIVAREZ",
        "authorized_official_first_name": "H. RENE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST/ OWNER",
        "authorized_official_telephone_number": "713-449-5493"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT031907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.