Peacock Heavenly Massage is a 
Massage Therapist based in Port Arthur, Texas. Peacock Heavenly Massage is licensed to practice in Texas (license number MT034536) and their current practice location is 
3800 Hwy 365, Regional Square, Port Arthur, Texas. It can be reached at their office (for appointments etc.) via phone at 
(409) 724-7882.
NPI number for Peacock Heavenly Massage is 1003295312 and their current mailing address is 3800 Hwy 365, Suite 159, Port Arthur, Texas. Peacock Heavenly Massage 
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003295312.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Peacock Heavenly Massage | 
|---|
| Type | Facility | 
|---|
| Speciality | Massage Therapist | 
|---|
| Location | 3800 Hwy 365, Port Arthur, Texas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1003295312
 - Provider Enumeration Date: 05/20/2015
 - Last Update Date: 05/20/2015
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Peacock Heavenly Massage such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1003295312 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 225700000X | Massage Therapist  | MT034536 (Texas) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peacock Heavenly Massage is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Peacock Heavenly Massage 3800 Hwy 365, Suite 159, Port Arthur, TX 77642 Ph: (409) 724-7882 | Peacock Heavenly Massage 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 Ph: (409) 724-7882 | 
		
		 
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