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General NPI Number Information
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NPI Number | 1710879879
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Entity Type | Organization
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Legal Business Name | INTERSTELLAR MASSAGE LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2045 SPACE PARK DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77058-6305
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Country | US
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Telephone | 281-549-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 SPACE PARK DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77058-6305
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Country | US
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Telephone | 281-549-4594
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | BAILEY MIER-NAVA
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Credential | LMT
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Telephone | 832-497-6069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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