MEDICARE: EZIE THRIVETOUCH THERAPY & WELLNESS PLLC

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	:	1972453629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZIE THRIVETOUCH THERAPY & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	5900 S LAKE FOREST DR STE 3005035
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2193
Country	:	US
Telephone Number	:	469-684-2627
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 S LAKE FOREST DR STE 3005035
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2193
Country	:	US
Telephone Number	:	469-684-2627
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NINA NWABIANI EZIEFULE
Credential	:
Telephone Number	:	469-684-2627

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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