MEDICARE: MASSAGE RADIANT & MOBILE MASSAGE

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

General Provider Information

NPI Number	:	1093654915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASSAGE RADIANT & MOBILE MASSAGE

Provider Business Mailing Address
First Line	:	15 WORTHINGTON ACCESS DR
Second Line	:	SUITE 27
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043
Country	:	UM
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 WORTHINGTON ACCESS DR
Second Line	:	SUITE 27
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043
Country	:	UM
Telephone Number	:
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC WALKER
Credential	:
Telephone Number	:	314-496-3774

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

Similar Medicare Providers

1346189339 — MASSAGE RADIANT & MOBILE MASSAGE
Practice Location Address:

15 WORTHINGTON ACCESS DR , SUITE 27
MARYLAND HEIGHTS, MO
63043

Practice Phone:
Practice Fax:

1154154284 — MRS. RACHEL YVONNE BOSCHERT
Practice Location Address:

2644 METRO BLVD
MARYLAND HEIGHTS, MO
63043-2412

Practice Phone: 314-395-9375
Practice Fax:

1366399792 — MS. ANGELICA MARIE BENNETT APRN
Practice Location Address:

2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208

Practice Phone: 314-590-0550
Practice Fax:

1164255568 — THE RANKEN-JORDAN HOME FOR CONVALESCENT CRIPPLED CHILDREN
Practice Location Address:

11365 DORSETT RD
MARYLAND HEIGHTS, MO
63043-3411

Practice Phone: 314-872-6400
Practice Fax:

1902197767 — ST. LUKE'S FAMILY MEDICINE - MARYLAND HEIGHTS LLC
Practice Location Address:

915 FEE FEE RD
MARYLAND HEIGHTS, MO
63043-3801

Practice Phone: 314-770-1777
Practice Fax: 314-590-5952

1467456046 — DR. MARK VEENHUIS OD
Practice Location Address:

2564 PHEASANT RUN DR
MARYLAND HEIGHTS, MO
63043-1480

Practice Phone: 314-453-9638
Practice Fax:

Directions to “MASSAGE RADIANT & MOBILE MASSAGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.