MYSTIKAL MOTIONS (NPI# 1588049803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588049803 |
| Entity Type | Organization |
| Organization Name | MYSTIKAL MOTIONS |
| Other Organization Name | MISTY KEIM LMT 107484 |
| Practice Address |
400 W Main St Suite 213 Round Rock TX 78664-5808 |
| Mailing Address |
502 Dove Creek Dr Round Rock TX 78664-5920 |
| Practice Telephone | 5127436010 |
| Mailing Telephone | 5127436010 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | MRS. MISTY DAWN KEIM (LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 5127436010 |
| Authorized Official Credential | LMT107484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 107484 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Misty Keim LMT 107484 | Doing Business As Name - Organization |
| Street Address |
400 W MAIN ST SUITE 213 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043675986 | Rosalie Garcia | Social Worker | 400 W Main St, 214, Round Rock, TX 78664-5808 | 2015-12-18 |
| 1275805426 | Carrie Ann Proctor | Counselor | 400 W Main St, Suite 218, Round Rock, TX 78664-5808 | 2012-02-03 |
| 1437430501 | Psychological Solutions, Pllc | Psychologist | 400 W Main St, Suite 213, Round Rock, TX 78664-5808 | 2011-09-02 |
| 1447538350 | Cynthia Ann Mcdonald | Counselor | 400 W Main St, Suite 104, Round Rock, TX 78664-5808 | 2011-07-26 |
| 1265756258 | Michelle Ann Befi | Counselor | 400 W Main St, Suite 221, Round Rock, TX 78664-5808 | 2010-03-18 |
| 1770775801 | Elizabeth C Wohl Phd Pa | Psychologist | 400 W Main St, Suite 221, Round Rock, TX 78664-5808 | 2007-08-13 |
| 1316068349 | Cloyd Veron Taylor II | Psychologist | 400 W Main St, Suite 217, Round Rock, TX 78664-5808 | 2007-04-03 |
| 1972676724 | Lucinda I. Cecchini | Counselor | 400 W Main St, Ste. 217, Round Rock, TX 78664-5808 | 2006-11-17 |
| 1760561195 | June A Ferris | Social Worker | 400 W Main St, Suite 219, Round Rock, TX 78664-5808 | 2006-11-05 |
| 1407950496 | Patricia J Strei | Psychologist | 400 W Main St, Suite 219, Round Rock, TX 78664-5809 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| 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 |
|---|---|---|---|---|
| 1396394219 | Kathy Mary Campbell | Massage Therapist | 2309 Sycamore Trl, Round Rock, TX 78664-7767 | 2019-09-04 |
| 1710483730 | Teena Welch | Massage Therapist | 1104 S Mays St Ste 107, Round Rock, TX 78664-6700 | 2018-03-30 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1316318462 | Jodi Hisey | Massage Therapist | 3710 Geese Rte, Round Rock, TX 78665-1306 | 2015-10-15 |
| 1366684987 | Professional Massage Associates Pllc | Massage Therapist | 305 West Liberty St, Round Rock, TX 78664 | 2009-03-27 |
| 1720449614 | Haizhen James | Massage Therapist | 1300 Gattis School Rd, Suite 400, Round Rock, TX 78664-7469 | 2016-03-19 |
| 1205108941 | Tra' Chez Enterprises LLC | Massage Therapist | 595 Round Rock West Dr, Suite 601, Round Rock, TX 78681-5011 | 2012-01-26 |
| 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 | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on MYSTIKAL MOTIONS.
| 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.