Individual provider · Type 1 NPI
Desiree McDade, LMT
Massage Therapist · Fort Worth, TX
NPI number
1154052207
Active
Practice location
6201 Sunset Dr # 111
Fort Worth, TX 76116-5535
Mailing address
6201 Sunset Dr # 650111
Fort Worth, TX 76116-5535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT121451 (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.
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About NPI 1154052207
Desiree McDade, LMT's National Provider Identifier is 1154052207, issued on Jun 20, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 20, 2022.