REUBEN CORDERO
NPI 1003507831
Massage Therapist in Fort Worth, TX
Active since May 15, 2023
About Reuben Cordero NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REUBEN CORDERO (NPI 1003507831) is an individual massage therapist in Fort Worth, Texas, licensed in Texas (MT123617) and active in the NPI registry since May 2023.
NPPES Registry Identity
NPI1003507831
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameREUBEN CORDERO
Location Address6201 SUNSET DR STE 121Fort Worth, TX 76116-5535
Mailing Address4821 Lovell AveFt Worth, TX 76107-5326 · (682) 556-9487
Phone(682) 556-9487
Sole ProprietorYes
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1003507831 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in TX · MT123617
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.
6201 SUNSET DR STE 121, Fort Worth, TX 76116
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003507831, enumerated as an "individual" on May 15, 2023.
The provider is located at 6201 SUNSET DR STE 121 FORT WORTH, TX 76116 and the phone number is (682) 556-9487.
Massage Therapist with taxonomy code 225700000X.