OrganizationActive
A Healthy Massage By Modesta
NPI 1417362401 · Point of Service · El Paso, TX
Provider details
- NPI number
- 1417362401
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Authorized official
- Modesta Van Den Bogaard, Licensed Massage Therapist
- License
- 101448 (TX)
Mailing address
9047 Polaris St
El Paso, TX 79904-1122
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2014-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.