ECLIPSE MASSAGE THERAPY (NPI# 1013480961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013480961 |
| Entity Type | Organization |
| Organization Name | ECLIPSE MASSAGE THERAPY |
| Practice Address |
4321 Center St. Deer Park TX 77536 |
| Practice Telephone | 2814780300 |
| Mailing Telephone | 2814780300 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | MRS. CARINA PANTOJA (OWNER) |
| Authorized Official Telephone | 7134982608 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Eclipse Massage and Spa | Doing Business As Name - Organization |
| Street Address |
4321 CENTER ST. |
| City | DEER PARK |
| State | TX |
| Zip Code | 77536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
| 1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
| 1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
| 1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
| 1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
| 1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
| 1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
| 1710066519 | Deer Park Family Clinic, P.a. | Family Medicine | 2910 Center St, Deer Park, TX 77536 | 2006-11-03 |
| Find all providers in zip 77536 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797392 | Maribel Mora | Massage Therapist | 2011 Deer Park Ave, Deer Park, NY 11729-2733 | 2020-07-09 |
| 1396370250 | Jennifer L Mclaughlin | Massage Therapist | 4717 W Cross Cut Rd, Deer Park, WA 99006-9789 | 2020-03-10 |
| 1720637267 | Brandi Gore | Massage Therapist | 2612 W Denison Rd, Deer Park, WA 99006-9382 | 2019-09-07 |
| 1437707536 | Cody B Devore | Massage Therapist | 3210 W Oregon Rd, Deer Park, WA 99006-9622 | 2019-09-01 |
| 1740760198 | Brooke Abrianna Kathleen Hathaway | Massage Therapist | 706 E C St, Deer Park, WA 99006-6055 | 2018-08-15 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1235656851 | Young Mi Lim | Massage Therapist | 2318 Center St Ste 105, Deer Park, TX 77536-4113 | 2017-08-24 |
| 1790140267 | Sarah Lynn Puthoff | Massage Therapist | 30717 N Perry Rd, Deer Park, WA 99006-8361 | 2015-12-28 |
| 1528439817 | Rachel Dewald | Massage Therapist | 42112 N Spring Water Ln, Deer Park, WA 99006-5126 | 2015-10-12 |
| 1679823488 | Denise Joy Korman | Massage Therapist | 63 Baldwin Path, Deer Park, NY 11729-1403 | 2012-09-19 |
| Find all providers in DEER PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.