Paula Smith
Individual provider Active NPI Massage Therapist · Selma, TX
NPI 1164062170 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1164062170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT039970 (TX)
- Practice address
- 8911 Quaker RDG
Selma, TX 78154-1340 - Phone
- (210) 383-9125
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT039970 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT039970 | TX | Yes |
Addresses
Primary practice location
8911 Quaker RDG
Selma, TX 78154-1340
Mailing address
8911 Quaker RDG
Selma, TX 78154-1340
Phone (210) 383-9125
Other providers in Selma, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.