MRS. VICTORIA RUTH PENNOCK CMT NPI 1033371208

NPI Information

NPI: 1033371208
Provider Name: MRS. VICTORIA RUTH PENNOCK, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
11308 WET SEASON DR
AUSTIN, TX
ZIP 78754
Phone: (512) 906-9734
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MRS. Victoria Ruth Pennock, CMT is a massage therapist in Austin, TX. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MRS. Victoria Ruth Pennock, CMT NPI is 1033371208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11308 WET SEASON DR
AUSTIN, TX
ZIP 78754-855
Phone: (512) 906-9734

The enumeration date for this NPI number is 6/30/2008 and was last updated on 2/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		108294	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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