Provider Demographics
NPI:1043190218
Name:CORNER FOOT MASSAGE LLC
Entity type:Organization
Organization Name:CORNER FOOT MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:281-602-9060
Mailing Address - Street 1:1609 SPRING CYPRESS RD STE CC
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3667
Mailing Address - Country:US
Mailing Address - Phone:281-602-9060
Mailing Address - Fax:
Practice Address - Street 1:1609 SPRING CYPRESS RD STE CC
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3667
Practice Address - Country:US
Practice Address - Phone:281-602-9060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty