NPIMap

Organization Active NPI

Wal-Interest LLC

  • Massage Therapist
  • Bryan, TX
National Provider Identifier
1831429638
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WAL-INTEREST LLC
Practice address
3001 Wildflower Dr
Suite 611
Bryan, TX 77802-3061
Phone
(979) 774-4343
Fax
(509) 315-8354
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Cliff Latham
Title
Owner
Phone
(979) 774-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3001 Wildflower Dr
Suite 611
Bryan, TX 77802-3061

Mailing address

3001 Wildflower Dr
Suite 611
Bryan, TX 77802-3061
Phone (979) 774-4343

Other names 1

  • Elements Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

3001 Wildflower Dr
Ste 611
Bryan, TX 77802
Phone (979) 774-4343

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1831429638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 WILDFLOWER DR",
            "address_2": "SUITE 611",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023061",
            "telephone_number": "979-774-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 WILDFLOWER DR",
            "address_2": "SUITE 611",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023061",
            "telephone_number": "979-774-4343",
            "fax_number": "509-315-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAL-INTEREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-774-4343"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.