Provider Demographics
NPI:1720772502
Name:PURPOSE MASSAGE, LLC
Entity Type:Organization
Organization Name:PURPOSE MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:O
Authorized Official - Last Name:VECCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:214-534-1262
Mailing Address - Street 1:268 BELLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3562
Mailing Address - Country:US
Mailing Address - Phone:214-534-1262
Mailing Address - Fax:
Practice Address - Street 1:311 S JUPITER RD STE 110
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3053
Practice Address - Country:US
Practice Address - Phone:214-534-1262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty