Angela Laas, LMT
Individual provider Active NPI Massage Therapist · Sunrise Beach, TX
NPI 1851886261 · NPPES record last updated Apr 22, 2022
Key facts
- NPI
- 1851886261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT128540 (TX)
- Practice address
- 3836 Ranch Road 2233
Sunrise Beach, TX 78643-9213 - Phone
- (830) 282-6444
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- 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 |
|---|---|---|---|
| MT128540 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT128540 | TX | Yes |
Addresses
Primary practice location
3836 Ranch Road 2233
Sunrise Beach, TX 78643-9213
Mailing address
3836 Ranch Road 2233
Sunrise Beach, TX 78643-9213
Phone (830) 282-6444
Other providers in Sunrise Beach, TX
All providers in Sunrise Beach, TX · Massage Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2022. 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.