Individual provider · Type 1 NPI
Ivernoner C. Fultz
Massage Therapist · Falls City, TX
NPI number
1194687558
Active
Practice location
797 County Road 250
Falls City, TX 78113-2885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT147482 (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 1194687558
Ivernoner C. Fultz's National Provider Identifier is 1194687558, issued on Nov 24, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Falls City, TX. The record was last updated on Nov 24, 2025.