JOHNNY KHAMPHOUSENG (NPI# 1730788787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730788787 |
Entity Type | Individual |
Full Name | JOHNNY KHAMPHOUSENG |
Credential | LMT |
Practice Address |
11100 Monica Ct Fort Worth TX 76244-7434 |
Practice Telephone | 6822476075 |
Enumeration Date | 2020-10-21 |
Last Update Date | 2020-10-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11100 MONICA CT |
City | FORT WORTH |
State | TX |
Zip Code | 76244-7434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
Find all providers in zip 76244 |
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 |
---|---|---|---|---|
1427655265 | Joline R Carraway | Massage Therapist | 645 Cross Ridge Cir N, Fort Worth, TX 76120-2435 | 2020-10-05 |
1023625720 | Joseph Peter Maslowski | Massage Therapist | 6704 Fall Meadow Dr, Fort Worth, TX 76132-3082 | 2020-09-26 |
1962017517 | Arelly Vanessa Orta-gonzales | Massage Therapist | 5501 Jacksboro Hwy Ste 402, Fort Worth, TX 76114-1600 | 2020-09-10 |
1699389361 | Mistyanne Green | Massage Therapist | 1606 N Sylvania Ave, Fort Worth, TX 76111-2733 | 2020-09-01 |
1316550353 | Cyndi E Jochum | Massage Therapist | 8713 Granite Path, Fort Worth, TX 76244-6987 | 2020-08-28 |
1902417173 | Shelby Leigh Butcher | Massage Therapist | 6740 Black Wing Dr, Fort Worth, TX 76137-2356 | 2020-08-12 |
1932724325 | Olivia Vaughn | Massage Therapist | 701 E Bluff St Apt 2111, Fort Worth, TX 76102-2351 | 2020-06-10 |
1386274207 | Amanda Leigh Phillips | Massage Therapist | 1925 Golden Heights Rd Ste 108, Fort Worth, TX 76177-7074 | 2020-01-20 |
1205486867 | Ariel Amber-lynn Carmack | Massage Therapist | 6040 Camp Bowie Blvd Ste 29, Fort Worth, TX 76116-5602 | 2019-09-16 |
1992354583 | Darnesha Rayna Woods | Massage Therapist | 4327 Segura Ct S, Fort Worth, TX 76132-2347 | 2019-09-06 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76244 |
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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.