1. Home
  2. Directory
  3. Texas
  4. Waco
  5. Massage Therapist
  6. NPI Profile

SHOUSHAN WANG MT
NPI 1700663218
Massage Therapist in Waco, TX

Active since September 11, 2023
1000 S NEW RD # 130, WACO, TX 76711(254) 900-7798 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shoushan Wang Mt NPPES

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

SHOUSHAN WANG MT (NPI 1700663218) is an individual massage therapist in Waco, Texas, licensed in Texas (MT123464) and active in the NPI registry since September 2023. He maintains a secondary practice location in Waco.

NPPES Registry Identity

NPI1700663218
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSHOUSHAN WANGCredential: MT
Location Address1000 S NEW RD # 130Waco, TX 76711-1300
Mailing Address5020 Fm 1960 Rd W Ste 6Houston, TX 77069-4519 · (254) 900-7788
Phone(254) 900-7798
Sole ProprietorNo
Enumeration DateSeptember 11, 2023
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1700663218 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 · MT123464
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.
1000 S NEW RD # 130, Waco, TX 76711
Open in Google Maps ↗

Secondary Practice Location 1

Location 16001 W Waco Dr Ste 314Waco, TX 76710-6302 · Phone (254) 900-7788

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 Shoushan Wang's NPI number?

The NPI number for Shoushan Wang is 1700663218. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Shoushan Wang located?

Shoushan Wang practices at 1000 S New Rd # 130, Waco, TX 76711. The listed phone number is (254) 900-7798.

What is Shoushan Wang'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 Shoushan Wang was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.