MEDICARE: ANGELA KING

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	NVMT.1753	NV

General Provider Information

NPI Number	:	1932031366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA KING

Provider Business Mailing Address
First Line	:	2384 FALSETTO AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-6463
Country	:	US
Telephone Number	:	479-650-8797
Fax Number	:

Provider Business Practice Location Address
First Line	:	2384 FALSETTO AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-6463
Country	:	US
Telephone Number	:	479-650-8797
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ ANGELA KING ” Practice Location

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