MADELYNNE FIMPLE LMT/MMP OTA NPI 1376015438

NPI Information

NPI: 1376015438
Provider Name: MADELYNNE FIMPLE, LMT/MMP, OTA
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
8057 WHITEHART ST
FRISCO, TX
ZIP 75035
Phone: (469) 406-9123
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Madelynne Fimple, LMT/MMP, OTA is a massage therapist in Frisco, 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. Madelynne Fimple, LMT/MMP, OTA NPI is 1376015438. 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:

8057 WHITEHART ST
FRISCO, TX
ZIP 75035-166
Phone: (469) 406-9123

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.

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	License Number	License State	Primary
1	173C00000X	Reflexologist	MT107685	TEXAS	No
2	174400000X	Specialist	MT107685	TEXAS	No
3	225400000X	Rehabilitation Practitioner	MT107685	TEXAS	No
4	251E00000X	Home Health	MT107685	TEXAS	No
5	225700000X	Massage Therapist	MT107685	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MT107685	OTHER	TEXAS	MASSAGE THERAPY LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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