BACK IN SHAPE MASSAGE THERAPY (NPI# 1437390598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437390598 |
| Entity Type | Organization |
| Organization Name | BACK IN SHAPE MASSAGE THERAPY |
| Practice Address |
1528 E Common St Suite 18 New Braunfels TX 78130-3337 |
| Mailing Address |
1539 Devin Dr New Braunfels TX 78130-7764 |
| Practice Telephone | 2105165033 |
| Practice Fax Number | 8308375137 |
| Mailing Telephone | 2105165033 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | ANNETTA JEAN ATWELL (PARTNER/MASSAGE THERAPIST) |
| Authorized Official Telephone | 2105165033 |
| Authorized Official Credential | L.M.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT 049022 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | OWCP/FECA/WORKMAN'S COMP | 613532800 | 01 |
| Street Address |
1528 E COMMON ST SUITE 18 |
| City | NEW BRAUNFELS |
| State | TX |
| Zip Code | 78130-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144335001 | Dairan Talley | Physical Therapist | 1528 E Common St, Suite 23, New Braunfels, TX 78130-3337 | 2006-08-20 |
| 1487881868 | Kimberly A. Turnbow | Dentist | 1528 E Common St, Suite 9, New Braunfels, TX 78130-3337 | 2009-06-12 |
| 1548496482 | Erika G Gabler | Physical Therapist | 1528 E Common St, Suite 23, New Braunfels, TX 78130-3337 | 2009-06-05 |
| 1043481948 | Katie Elizabeth Halliburton | Physical Therapist | 1528 E Common St, Ste 23, New Braunfels, TX 78130-3337 | 2008-03-18 |
| 1194905588 | Maria R Lomba, M.d.,p.a. | Specialist | 1528 E Common St, Ste 18, New Braunfels, TX 78130-3337 | 2007-11-14 |
| 1508046996 | Alex J. Urteaga, D.p.m,p.a. | Podiatrist | 1528 E Common St, Ste 18, New Braunfels, TX 78130-3337 | 2007-11-14 |
| 1891817714 | New Braunfels Sports and Spine | Occupational Therapist | 1528 E Common St, New Braunfels, TX 78130-3337 | 2007-04-03 |
| 1841395142 | Maria R Lomba | Physical Medicine & Rehabilitation | 1528 E Common St, Ste 18, New Braunfels, TX 78130-3337 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1558997734 | Children's Dental Ranch of New Braunfels, Pllc | Dentist | 1187 West County Line Rd, Suite 11b, New Braunfels, TX 78130 | 2020-03-19 |
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| 1164052536 | Talia Louise Risinger | Specialist/Technologist | 2551 337-loop 337, New Braunfels, TX 78130 | 2020-01-24 |
| 1255971099 | Next Level Orthodontics, Pllc | Dentist | 2084 Central Plaza, Ste 102, New Braunfels, TX 78130 | 2020-01-09 |
| 1568008613 | Carol Abel | Chiropractor | 931 N Ih35 Business, Suite 200, New Braunfels, TX 78130 | 2019-11-25 |
| 1245872910 | Tyler Vassar | Behavior Technician | 475 Oxford Dr. Ste. 104, New Braunfels, TX 78130 | 2019-10-14 |
| 1528617735 | Alexis Ellis | Licensed Practical Nurse | 2619 Pahmeyer Rd, New Braunfels, TX 78130 | 2019-09-10 |
| 1144790718 | Jamie Lynn Taylor | Counselor | 1414 W. San Antonio St, New Braunfels, TX 78130 | 2018-11-27 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| Find all providers in zip 78130 | ||||
| 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 |
|---|---|---|---|---|
| 1790390748 | Andrea Michelle Gonzalez | Massage Therapist | 2942 Oakbranch Rdg, New Braunfels, TX 78130-7511 | 2020-09-15 |
| 1083178479 | Caliber Therapies, LLC. | Massage Therapist | 2115 Stephens Pl Ste 1100, New Braunfels, TX 78130-2156 | 2019-01-30 |
| 1043451636 | Maria Alicia Corona | Massage Therapist | 236 Glenbrook Drive, New Braunfels, TX 78130 | 2009-03-12 |
| 1942508908 | Lucille J Dion | Massage Therapist | 1551 N Walnut Ave, Suite 29, New Braunfels, TX 78130-6045 | 2011-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
| 1295336691 | Emily Burris | Massage Therapist | 1202 Juniper, Princeton, TX 75407-2867 | 2020-11-03 |
| 1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
| 1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
| 1821698960 | Whivolyn Thomas | Massage Therapist | 3939 Synott Rd Apt 402, Houston, TX 77082-5231 | 2020-10-28 |
| 1790385730 | Beatriz Y Ogarek | Massage Therapist | 9945 Barker Cypress Rd Ste 200, Cypress, TX 77433-5319 | 2020-10-28 |
| 1598364002 | Angelique Bella | Massage Therapist | 2832 Rush Creek Rd, Mckinney, TX 75072-7224 | 2020-10-26 |
| 1770182255 | Tyana Washington | Massage Therapist | 1018 Port Neches Dr, Little Elm, TX 75068-5935 | 2020-10-26 |
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRAUNFELS |
| Zip Code | 78130 |
Please comment or provide details below to improve the information on BACK IN SHAPE MASSAGE THERAPY.
| 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.