MEDICARE: CASSIE MACKEY

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	MT146153	TX

General Provider Information

NPI Number	:	1467380311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIE MACKEY

Provider Business Mailing Address
First Line	:	2024 HANAKOA FALLS DR
Second Line	:
City	:	ANNA
State	:	TX
Zip	:	75409-5128
Country	:	US
Telephone Number	:	469-215-1226
Fax Number	:

Provider Business Practice Location Address
First Line	:	816 S POWELL PKWY
Second Line	:
City	:	ANNA
State	:	TX
Zip	:	75409-2531
Country	:	US
Telephone Number	:	469-215-1226
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ CASSIE MACKEY ” Practice Location

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