Organization Active NPI

Customized Massage & Bodywork

  • Clinic/Center
  • Cleburne, TX
National Provider Identifier
1700208386
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MT113016 Issued in TX
Legal business name
CUSTOMIZED MASSAGE & BODYWORK
Practice address
426 W Chambers St
Cleburne, TX 76033-5425
Phone
(817) 645-3061
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dennis Danley, LMT
Title
Owner
Phone
(817) 645-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MT113016 TX Primary

Addresses

Primary practice location

426 W Chambers St
Cleburne, TX 76033-5425

Mailing address

426 W Chambers St
Cleburne, TX 76033-5425
Phone (817) 645-3061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1700208386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W CHAMBERS ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335425",
            "telephone_number": "817-645-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W CHAMBERS ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335425",
            "telephone_number": "817-645-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "DANLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-645-3061",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "MT113016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.