Healthcare Provider Details

I. General information

NPI: 1083528111
Provider Name (Legal Business Name): FAMILY CHIROPRACTIC & MASSAGE SPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3786 FM 1488 RD STE 310A
CONROE TX
77384-4986
US

IV. Provider business mailing address

3786 FM 1488 RD STE 310A
CONROE TX
77384-4986
US

V. Phone/Fax

Practice location:
  • Phone: 913-215-2244
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CATHRINA TACTAY
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 913-215-2244