Provider Demographics
NPI:1811436462
Name:3RS MASSAGE THERAPY
Entity type:Organization
Organization Name:3RS MASSAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:817-454-6802
Mailing Address - Street 1:2715 S COOPER ST
Mailing Address - Street 2:#248
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2409
Mailing Address - Country:US
Mailing Address - Phone:817-454-6802
Mailing Address - Fax:
Practice Address - Street 1:1201 AIRPORT FWY
Practice Address - Street 2:SUITE 20
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-4177
Practice Address - Country:US
Practice Address - Phone:817-454-6802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT113173171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty