GUDJON BERGMANN MASSAGE THERAPIST
NPI 1780411801
Massage Therapist in San Marcos, TX

Active since September 14, 2024
324 RIVERWALK DR STE 308, SAN MARCOS, TX 78666(737) 248-1499 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Massage Therapist

About GUDJON BERGMANN

This page provides the complete NPI Profile along with additional information for Gudjon Bergmann, a provider established in San Marcos, Texas with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1780411801 assigned on September 2024. The practitioner's primary taxonomy code is 225700000X with license number MT140730 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1780411801 Verify this NPI
Provider Name
GUDJON BERGMANN MASSAGE THERAPIST
Gender
Male
Entity Type
Individual
Location Address
324 RIVERWALK DR STE 308 SAN MARCOS, TX 78666
Location Phone
(737) 248-1499
Mailing Address
480 HOGAN KYLE, TX 78640
Mailing Phone
(512) 241-9638
Is Sole Proprietor?
Yes
Enumeration Date
09-14-2024
Last Update Date
09-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
MT140730
License State
TX
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780411801, enumerated as an "individual" on September 14, 2024.

The provider is located at 324 RIVERWALK DR STE 308 SAN MARCOS, TX 78666 and the phone number is (737) 248-1499.

Massage Therapist with taxonomy code 225700000X.