MEDICARE: JAYA SASHA GROPPETTI LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT143493	TX

General Provider Information

NPI Number	:	1093523094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYA SASHA GROPPETTI LMT

Provider Business Mailing Address
First Line	:	8617 CATO DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-7443
Country	:	US
Telephone Number	:	682-803-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	8617 CATO DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-7443
Country	:	US
Telephone Number	:	682-803-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2024
Last Update Date	:	12/21/2024

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Directions to “ JAYA SASHA GROPPETTI LMT” Practice Location

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