Healthcare Provider Details

I. General information

NPI: 1821912155
Provider Name (Legal Business Name): PAIGE ANN-MARIE MASSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6580 JUDSON RD
LONGVIEW TX
75605-7076
US

IV. Provider business mailing address

6580 JUDSON RD
LONGVIEW TX
75605-7076
US

V. Phone/Fax

Practice location:
  • Phone: 403-625-7089
  • Fax:
Mailing address:
  • Phone: 403-625-7089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1617813
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT149547
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: