=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831054766
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RELAXIS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/23/2025
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3926 S TREADAWAY BLVD STE B-2
-----------------------------------------------------
City | ABILENE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79602-6901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-455-4287
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3926 S TREADAWAY BLVD STE B-2
-----------------------------------------------------
City | ABILENE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79602-6901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 325-455-4287
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JESSICAA WALDRUM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 325-455-4287
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------