Active NPI
Customized Massage & Bodywork
- Clinic/Center
- Cleburne, TX
National Provider Identifier
1700208386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MT113016
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.