SUZANNA MOODY MMP NPI 1669869228

NPI Information

  • NPI: 1669869228
  • Provider Name: SUZANNA MOODY, MMP
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 704 SOUTH BOIS DARC AVENUE
    TYLER, TX
    ZIP 75701
  • Phone: (903) 520-8611

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NPI Details

Suzanna Moody, MMP is a massage therapist in Tyler, 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. Suzanna Moody, MMP NPI is 1669869228. 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:

704 SOUTH BOIS DARC AVENUE
TYLER, TX
ZIP 75701
Phone: (903) 520-8611

The enumeration date for this NPI number is 4/22/2015 and was last updated on 4/22/2015.

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 Therapist102131TEXASYes

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: 3/30/2025

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