Desiree Marie Davenport-Dessus, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT134278 Issued in TX

Practice address

101 W FM 2410 Rd Ste C
Harker Heights, TX 76548-1806

Phone

(254) 519-2273

NPI assigned

Aug 29, 2022

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 names 1

• DMD Wellness LLC N/a N/a Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tranquil Retreat, LLC

  • Clinic/Center
  • Harker Heights, TX
  • NPI 1346337540
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1982324315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BOWFIELD DR STE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426289",
            "telephone_number": "254-688-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W FM 2410 RD STE C",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481806",
            "telephone_number": "254-519-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT-DESSUS",
        "first_name": "DESIREE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT134278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DMD WELLNESS LLC",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• CVS Pharmacy Inc.
• Emily Dalton, OTR
• Isaiah Daly
• Brittni Daniels
• Whitney Darby
• Kati Davenport, APRN,BC
• Tonikka Davenport
• Cyndasia Davis
• Dajia Davis
• Elisa Davis

• Massage Therapist in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.