Fusion Massage & Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

041066 Issued in TX

Legal business name

FUSION MASSAGE & BODYWORK

Practice address

21703 Kingsland Blvd
Suite 101
Katy, TX 77450-2520

Phone

(832) 465-5388

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Angelique M Warren, LMT

Title

President/Owner

Phone

(832) 465-5388

Specialties & licenses 1

Addresses

Other names 1

• Fusion Med Massage Other name

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1851848790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20810 UNION PARK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504158",
            "telephone_number": "832-465-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21703 KINGSLAND BLVD",
            "address_2": "SUITE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502520",
            "telephone_number": "832-465-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "832-465-5388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "041066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Med Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.