Provider Demographics
NPI:1659853117
Name:EMPOWERMENT MULTINATIONAL MASSAGE TRAINING
Entity Type:Organization
Organization Name:EMPOWERMENT MULTINATIONAL MASSAGE TRAINING
Other - Org Name:EMPOWERMENT MMT-PAIN AND STRESS MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-755-0020
Mailing Address - Street 1:11271 RICHMOND AVE STE H100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6660
Mailing Address - Country:US
Mailing Address - Phone:281-755-0002
Mailing Address - Fax:
Practice Address - Street 1:11271 RICHMOND AVE STE H100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6660
Practice Address - Country:US
Practice Address - Phone:281-755-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXME4792225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty