Benny Ray Gustafson in Woodway - Massage Therapist
Benny Ray Gustafson - NPI 1558402164
Benny Ray Gustafson is a Massage Therapist in Woodway, Texas. Benny Ray Gustafson practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Benny Ray Gustafson is 1558402164. The last update date is 2007-07-08.
Benny Ray Gustafson's current location address is 123 Topeka Dr, Woodway, Texas. You can contact this provider via phone number 2547231811. The mailing address for Benny Ray Gustafson is 123 Topeka Dr, Woodway, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benny Ray Gustafson |
|---|---|
| Address | 123 Topeka Dr, Woodway, Texas |
| Phone Number | 2547231811 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.M.T. |
NPI Number Detail
| NPI Number | 1558402164 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 123 Topeka Dr |
|---|---|
| City | Woodway |
| State | Texas (TX) |
| Post Code | 767126168 |
| Phone Number | 2547231811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MT042353 |
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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. |
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What is the unique 10-digit identifier code assigned to Benny Ray Gustafson by the Centers for Medicare & Medicaid Services?
The Benny Ray Gustafson has been issued the NPI (National Provider Identifier) 1558402164 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Benny Ray Gustafson's physical address?
The Benny Ray Gustafson is physically located at 123 Topeka Dr, in the city of Woodway, TX, with the postal code 767126168.
What is Benny Ray Gustafson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Benny Ray Gustafson is Massage Therapist, and the taxonomy code that classifies this field of practice is 225700000X.
When did Benny Ray Gustafson receive its 1558402164 assignment?
The Benny Ray Gustafson was assigned its 1558402164 on 2007-02-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Benny Ray Gustafson most recently updated?
The details pertaining to the Benny Ray Gustafson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.