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JOE DAVID SECREST IV LMT
NPI 1083991780
Massage Therapist in Fort Worth, TX

Active since November 08, 2011
5800 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109(843) 345-3271 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joe David Secrest Iv Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOE DAVID SECREST IV LMT (NPI 1083991780) is an individual massage therapist in Fort Worth, Texas, licensed in Texas (MT120063) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1083991780
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJOE DAVID SECREST IVCredential: LMT
Location Address5800 EDWARDS RANCH RD STE 200Fort Worth, TX 76109-4126
Mailing Address5800 Edwards Ranch Rd Ste 200Fort Worth, TX 76109-4126 · (843) 345-3271
Phone(843) 345-3271
Sole ProprietorYes
Enumeration DateNovember 8, 2011
Last NPPES UpdateDecember 31, 2018
✔ NPI 1083991780 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 · MT120063
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.

5800 EDWARDS RANCH RD STE 200, Fort Worth, TX 76109
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joe Secrest's NPI number?

The NPI number for Joe Secrest is 1083991780. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Joe Secrest located?

Joe Secrest practices at 5800 Edwards Ranch Rd Ste 200, Fort Worth, TX 76109. The listed phone number is (843) 345-3271.

What is Joe Secrest's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Joe Secrest was last updated on December 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.