Provider Demographics
NPI:1831895804
Name:PRESSED MASSAGE THERAPY LLC
Entity type:Organization
Organization Name:PRESSED MASSAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:682-305-4882
Mailing Address - Street 1:950 HENDERSON ST APT 1206
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-3586
Mailing Address - Country:US
Mailing Address - Phone:682-305-4882
Mailing Address - Fax:
Practice Address - Street 1:100 E 15TH ST STE 117
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-6522
Practice Address - Country:US
Practice Address - Phone:682-305-4882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation