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DOMANIQUE INGRAM
NPI 1205429180
Massage Therapist in Longview, TX

Active since February 11, 2021
501 N SPUR 63 STE C1, LONGVIEW, TX 75601(903) 746-6019 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Domanique Ingram NPPES

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

DOMANIQUE INGRAM (NPI 1205429180) is an individual massage therapist in Longview, Texas, licensed in Texas (MT123998) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1205429180
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDOMANIQUE INGRAM
Location Address501 N SPUR 63 STE C1Longview, TX 75601-5010
Mailing Address1203 W River Oaks DrLongview, TX 75604-5844 · (903) 746-6019
Phone(903) 746-6019
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1205429180 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 · MT123998
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.
501 N SPUR 63 STE C1, Longview, TX 75601
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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 Domanique Ingram's NPI number?

The NPI number for Domanique Ingram is 1205429180. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Domanique Ingram located?

Domanique Ingram practices at 501 N Spur 63 Ste C1, Longview, TX 75601. The listed phone number is (903) 746-6019.

What is Domanique Ingram'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 Domanique Ingram was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.