Healthcare Provider Details

I. General information

NPI: 1518480896
Provider Name (Legal Business Name): KATHERINE DAY LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2017
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W NORTHWEST HWY # 201
GRAPEVINE TX
76051-3250
US

IV. Provider business mailing address

200 W NORTHWEST HWY # 201
GRAPEVINE TX
76051-3250
US

V. Phone/Fax

Practice location:
  • Phone: 817-422-3492
  • Fax:
Mailing address:
  • Phone: 817-422-3492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT134433
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: