Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARQUIS MANGRUM
Active Sole ProprietorMassage Therapist · HEWITT, TX
Registration Details
- NPI Number
- 1295427979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2023 (2.9273635634828 yrs)
- Last Updated
- May 22, 2023
- License
-
MT113672 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1217 S HEWITT DRHEWITT, TX, 766433200Browse TX providers · Browse ZIP 76643
- Phone
- 2547232400
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in HEWITT, TX
| Name | Credential | NPI |
|---|---|---|
| JENNIE JOINER | LMT | 1740042688 |
| CHAD JOAQUIN GOODMAN | — | 1457141178 |
| ADRIANNA NYKOL GUAJARDO | — | 1720960461 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.