CALVIN EUGENE DRAKE JR. LMT
NPI 1720841505
Massage Therapist in Rockwall, TX
Active since February 05, 2024
About Calvin Eugene Drake Jr. Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALVIN EUGENE DRAKE JR. LMT (NPI 1720841505) is an individual massage therapist in Rockwall, Texas, licensed in Texas (MT116938) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1720841505
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCALVIN EUGENE DRAKE JR.Credential: LMT
Location Address2690 N STODGHILL RDRockwall, TX 75087-8310
Mailing Address2690 N Stodghill RdRockwall, TX 75087-8310 · (469) 332-4600
Phone(469) 332-4600
Sole ProprietorYes
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 3, 2024
✔ NPI 1720841505 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 · MT116938
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.
2690 N STODGHILL RD, Rockwall, TX 75087
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720841505, enumerated as an "individual" on February 05, 2024.
The provider is located at 2690 N STODGHILL RD ROCKWALL, TX 75087 and the phone number is (469) 332-4600.
Massage Therapist with taxonomy code 225700000X.
