JOHNNY KHAMPHOUSENG


Address: 11100 Monica Ct, Fort Worth, TX 76244-7434
Phone: 6822476075

JOHNNY KHAMPHOUSENG (NPI# 1730788787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 11100 MONICA CT
City FORT WORTH
State TX
Zip Code 76244-7434

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NPI Name Taxonomy Address Enumeration
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1770145351 Texas Health Spine Surgery Center Alliance LLC Clinic/Center 10900 Founders Way, Suite 100, Fort Worth, TX 76244 2019-07-03
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City FORT WORTH
Zip Code 76244

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Dataset Information

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.

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