Marion B Bourgeois, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT130495 Issued in TX

Practice address

1015 E Main St Ste B
League City, TX 77573-3235

Phone

(346) 603-0342

NPI assigned

Nov 13, 2023

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": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1720852460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 27TH ST",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775395502",
            "telephone_number": "832-306-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E MAIN ST STE B",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733235",
            "telephone_number": "346-603-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "MARION",
        "middle_name": "B",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT130495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonsai Logistics LLC
• Kai Borgstrom, D.C., C.C.S.P.
• Krislyn Boswell
• Melissa Ann Botard, FNP-C
• Gideon Petrus Botha, LPC, LMFT
• Jessica Erin Bourque, DC
• Kendra Eve Bowie, LPC
• Daisy Bowler
• Trina Boyer
• David Joseph Bracken, MD

• Massage Therapist in League City, TX
• Providers in League City, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.