MEDICARE: AMANDA RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT131304	TX

General Provider Information

NPI Number	:	1235067000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA RODRIGUEZ

Provider Business Mailing Address
First Line	:	2867 HIGHWAY 35 N
Second Line	:
City	:	ROCKPORT
State	:	TX
Zip	:	78382-5712
Country	:	US
Telephone Number	:	361-245-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	2867 HIGHWAY 35 N
Second Line	:
City	:	ROCKPORT
State	:	TX
Zip	:	78382-5712
Country	:	US
Telephone Number	:	361-245-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ AMANDA RODRIGUEZ ” Practice Location

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