MEDICARE: PROFOUND TOUCH

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	:	1467241273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFOUND TOUCH

Provider Business Mailing Address
First Line	:	205 E MONROE ST # 206
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2424
Country	:	US
Telephone Number	:	512-222-6710
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 E MONROE ST # 206
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2424
Country	:	US
Telephone Number	:	512-222-6710
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	SAMUELL BARTHOLOMEW
Credential	:	LMT
Telephone Number	:	214-208-2939

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

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Directions to “PROFOUND TOUCH ” 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.

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