Dena R Quidor, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT017451 Issued in TX

Practice address

6635 Storm Cat LN
Burleson, TX 76028-7990

Phone

(682) 708-3350

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1871114298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 LINDA DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285112",
            "telephone_number": "682-365-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 STORM CAT LN",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287990",
            "telephone_number": "682-708-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIDOR",
        "first_name": "DENA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT017451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING",
            "identifier": "MT017451",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Quantum Chiropractic
• Quest Diagnostics Clinical Laboratories Inc
• Questcare Medical Clinics PLLC
• Emilie Quintanilla, PT
• Quintessential Creations
• Keith Allen Raber, DC
• Jennifer Radke, LCSW
• Rainy Days Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.