Chad Eugene Autrey, LMT
Individual provider Active NPI Massage Therapist · Atlanta, TX
NPI 1851240139 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1851240139
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT022036 (TX)
- Practice address
- 120 E Main St
Atlanta, TX 75551-2634 - Phone
- (903) 799-9132
- NPI assigned
- Jan 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT022036 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT022036 | TX | Yes |
Addresses
Primary practice location
120 E Main St
Atlanta, TX 75551-2634
Mailing address
2788 County Road 1118
Atlanta, TX 75551-6799
Phone (903) 799-9132
Other providers in Atlanta, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.