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Organization
THERASSAGE MD, PLLC
Active
Organization
THERASSAGE MD, PLLC
Active
Other names
iLiveWell FMC
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID BADILLO GONZALEZ LMT (OWNER)
(863) 812-6228
Entity
Organization
Contact information
Practice address
1808 SNAKE RIVER RD STE C, KATY, TX 77449-7746
(346) 546-9653
(832) 626-3627
Mailing address
1808 SNAKE RIVER RD STE D, KATY, TX 77449-7746
(346) 546-9653
(832) 626-3627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
106S00000X
Behavior Technician
—
—
111N00000X
Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
225700000X
Massage Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SR0400X
Rehabilitation Clinical Nurse Specialist
—
—
Other
Enumeration date
12/28/2022
Last updated
06/28/2026
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