Individual provider · Type 1 NPI
Marie Elena Bumpass, LMT
Massage Therapist · San Antonio, TX
NPI number
1760699466
Active
Practice location
4319 Medical Dr, Ste 210A
San Antonio, TX 78229-3381
Fax (210) 615-0278
Mailing address
7106 Northern Lights St, Lot 109-12
San Antonio, TX 78238-1221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT007570 (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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- Jose Duron Jr.Other Technician San Antonio, TX NPI 1437431657
- Rob Phelps, R.PH.Pharmacist San Antonio, TX NPI 1306280136
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About NPI 1760699466
Marie Elena Bumpass, LMT's National Provider Identifier is 1760699466, issued on May 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.