JOE DAVID SECREST LMT NPI 1083991780

NPI Information

NPI: 1083991780
Provider Name: JOE DAVID SECREST, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
5800 EDWARDS RANCH RD STE 200
FORT WORTH, TX
ZIP 76109
Phone: (843) 345-3271
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Joe David Secrest, LMT is a massage therapist in Fort Worth, 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. Joe David Secrest, LMT NPI is 1083991780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5800 EDWARDS RANCH RD STE 200
FORT WORTH, TX
ZIP 76109-126
Phone: (843) 345-3271

The enumeration date for this NPI number is 11/8/2011 and was last updated on 12/31/2018.

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		MT120063	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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