EQUILIBRIUM MASSAGE LLC (NPI# 1306353214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306353214 |
| Entity Type | Organization |
| Organization Name | EQUILIBRIUM MASSAGE LLC |
| Practice Address |
6320 Lbj Fwy Ste 122 Dallas TX 75240-6428 |
| Practice Telephone | 2143100414 |
| Mailing Telephone | 2143100414 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | MR. JAMES GLENN PETERS JR. (CEO) |
| Authorized Official Telephone | 2143100414 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT116421 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6320 LBJ FWY STE 122 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989471 | James Glenn Peters Jr. | Massage Therapist | 6320 Lbj Fwy Ste 122, Dallas, TX 75240-6428 | 2018-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| 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 |
|---|---|---|---|---|
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1225637846 | Just Breathe Massage and Wellness LLC | Massage Therapist | 7200 N Stemmons Fwy Apt 908, Dallas, TX 75247-5032 | 2020-10-23 |
| 1679170658 | Stephanie R Stigers | Massage Therapist | 3214 Nebraska Ave, Dallas, TX 75216-5328 | 2020-10-03 |
| 1841806650 | Sasha Danielle Rogers | Massage Therapist | 4230 Lyndon B Johnson Fwy # 200n, Dallas, TX 75244-5806 | 2020-09-17 |
| 1194338939 | Victoria Hill | Massage Therapist | 4594 W Kiest Blvd Apt 2111, Dallas, TX 75236-2643 | 2020-08-30 |
| 1295348191 | Mia Walker | Massage Therapist | 1647 Bending Oaks Trl, Dallas, TX 75217-2625 | 2020-08-28 |
| 1568073690 | Joshua Tharian | Massage Therapist | 13938 Peyton Dr, Apt 114, Dallas, TX 75240-3655 | 2020-08-12 |
| 1770193955 | Tammie White | Massage Therapist | 15340 Dallas Pkwy Ste 2220, Dallas, TX 75248-4637 | 2020-08-03 |
| 1841830346 | Nakeeta Shanee Smith | Massage Therapist | 7502 Campbell Rd., Suite 24, Dallas, TX 75248-1704 | 2020-01-13 |
| 1073155602 | Njy International LLC | Massage Therapist | 2695 Villa Creek Dr Ste 205, Dallas, TX 75234-7329 | 2019-10-15 |
| Find all providers in DALLAS | ||||
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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.