MEDICARE: ELITE ENDEAVORS, INC.

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	ME0222	TX

General Provider Information

NPI Number	:	1255542452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE ENDEAVORS, INC.

Provider Business Mailing Address
First Line	:	4950 KELLER SPRINGS RD
Second Line	:	STE. 430
City	:	ADDISON
State	:	TX
Zip	:	75001-6211
Country	:	US
Telephone Number	:	972-233-2639
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 KELLER SPRINGS RD
Second Line	:	STE. 430
City	:	ADDISON
State	:	TX
Zip	:	75001-6211
Country	:	US
Telephone Number	:	972-233-2639
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SHERRY CONAWAY
Credential	:	LMT, MI
Telephone Number	:	972-233-2639

Provider Enumeration Date	:	05/28/2007
Last Update Date	:	08/22/2020

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Directions to “ELITE ENDEAVORS, INC. ” Practice Location

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