MEDICARE: MASA HOLISTIC THERAPY LLC

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	:	1104782531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASA HOLISTIC THERAPY LLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 WILKINSON DR STE 103
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-3004
Country	:	US
Telephone Number	:	361-317-1993
Fax Number	:

Authorized Official
Title or Position	:	MASSAGE THERAPIST
Name	:	CORRYNA BRINSON
Credential	:	LMT
Telephone Number	:	361-317-1993

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

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