Provider Demographics
NPI:1427869684
Name:FUZION THERAPEUTIC MASSAGE & SPA, LLC
Entity type:Organization
Organization Name:FUZION THERAPEUTIC MASSAGE & SPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YELITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:832-365-9842
Mailing Address - Street 1:11511 KATY FWY STE 406
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1914
Mailing Address - Country:US
Mailing Address - Phone:832-365-9842
Mailing Address - Fax:
Practice Address - Street 1:11511 KATY FWY STE 406
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1914
Practice Address - Country:US
Practice Address - Phone:832-365-9842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty