Organization · Type 2 NPI
Peacock Heavenly Massage
Massage Therapist · Port Arthur, TX
NPI number
1003295312
Active
Practice location
3800 Hwy 365, Regional Square
Port Arthur, TX 77642
Mailing address
3800 Hwy 365, Suite 159
Port Arthur, TX 77642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT034536 (TX) |
Massage Therapist: 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.
About NPI 1003295312
Peacock Heavenly Massage's National Provider Identifier is 1003295312, issued on May 20, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Arthur, TX. The record was last updated on May 20, 2015.