TIMBER BENNETT MMP NPI 1497357719

NPI Information

  • NPI: 1497357719
  • Provider Name: TIMBER BENNETT, MMP
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 2633 STEPPINGTON ST
    GRAND PRAIRIE, TX
    ZIP 75052
  • Phone: (817) 805-4614

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NPI Details

Timber Bennett, MMP is a massage therapist in Grand Prairie, 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. Timber Bennett, MMP NPI is 1497357719. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2633 STEPPINGTON ST
GRAND PRAIRIE, TX
ZIP 75052-003
Phone: (817) 805-4614

The enumeration date for this NPI number is 11/11/2020 and was last updated on 11/11/2020.

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
1225700000XMassage TherapistMT124884TEXASYes

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
1MT124884OTHERTEXASALL INSURANCES
2MT124884MEDICAIDTEXAS

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: 11/21/2025

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