Organization · Type 2 NPI

Shining Star Medical Massage Spa

Massage Therapist · Dallas, TX

NPI number 1982470019 Active

Practice location

2910 S Beckley Ave Ste 260
Dallas, TX 75224-3528

Call (469) 274-1715 Map

Mailing address

214 Hillvale Dr
Dallas, TX 75241-1008

Specialties and licenses

Taxonomy	Code	License
Massage Therapist Primary	225700000X	None listed

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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NPI record

NPI: 1982470019
Entity type: Organization (Type 2)
Issued: Nov 29, 2023
Last updated: Nov 29, 2023
Status: Active
Subpart: Yes of Shining Star Medical Massage Spa

Other names

Shining Star Medical Massage Spa · doing business as

Authorized official

Cora Y Dixon, MMP, LMT
Licensed Massage Therapist
(469) 274-1715

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982470019

Shining Star Medical Massage Spa's National Provider Identifier is 1982470019, issued on Nov 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, TX. The record was last updated on Nov 29, 2023.