Provider Demographics
NPI:1225822810
Name:MASSA OCASIO, TAMAYRALIZ (LMT)
Entity type:Individual
Prefix:
First Name:TAMAYRALIZ
Middle Name:
Last Name:MASSA OCASIO
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4639 CORONA DR STE 65
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5416
Mailing Address - Country:US
Mailing Address - Phone:361-334-1073
Mailing Address - Fax:361-334-1025
Practice Address - Street 1:8926 MCGLOIN RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-9730
Practice Address - Country:US
Practice Address - Phone:361-558-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT144333225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist