Provider Demographics
NPI:1518621275
Name:THE MASSAGE THERAPIST, PLLC
Entity type:Organization
Organization Name:THE MASSAGE THERAPIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:682-433-6252
Mailing Address - Street 1:2300 BAMBOO DR APT N106
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-5972
Mailing Address - Country:US
Mailing Address - Phone:682-433-6252
Mailing Address - Fax:
Practice Address - Street 1:722 S DENTON TAP RD STE 290
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4515
Practice Address - Country:US
Practice Address - Phone:682-433-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty