Provider Demographics
NPI:1710369491
Name:MEDICAL MASSAGE RX
Entity Type:Organization
Organization Name:MEDICAL MASSAGE RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAUHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-460-4420
Mailing Address - Street 1:2616 LONG PRAIRIE RD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028
Mailing Address - Country:US
Mailing Address - Phone:972-460-4420
Mailing Address - Fax:
Practice Address - Street 1:2616 LONG PRAIRIE RD STE 101
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4982
Practice Address - Country:US
Practice Address - Phone:972-460-4420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty