Active NPI
Therese A Archer, RN, RMT
- Massage Therapist
- Odessa, TX
National Provider Identifier
1730465428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT016979
- Practice address
- 712 N. Texas Ave
Odessa, TX 79761 - Phone
- (432) 337-2299
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- No
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 | MT016979 | TX | Primary |
Addresses
Primary practice location
712 N. Texas Ave
Odessa, TX 79761
Mailing address
712 N. Texas Ave
Odessa, TX 79761
Phone (432) 337-2299
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT016979 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1730465428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 N. TEXAS AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-337-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 N. TEXAS AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "79761",
"telephone_number": "432-337-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "THERESE",
"middle_name": "A",
"credential": "RN, RMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT016979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.