Christina Michelle79 Ethridge, LMT
Individual provider Active NPI Massage Therapist · White Settlement, TX
NPI 1487024873 · NPPES record last updated Sep 29, 2015
Key facts
- NPI
- 1487024873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT018910 (TX)
- Practice address
- 8321 White Settlement Rd
White Settlement, TX 76108-1606 - Phone
- (817) 253-8341
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MT018910 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT018910 | TX | Yes |
Addresses
Primary practice location
8321 White Settlement Rd
White Settlement, TX 76108-1606
Mailing address
8321 White Settlement Rd
White Settlement, TX 76108-1606
Phone (817) 253-8341
Other providers in White Settlement, TX
- Jeremy Campbell
- Coryell County Memorial Hospital Authority
- Steven Jacob Cross
- Janel Duval
- Julie Simone Ehmsen
- Fort Worth West Side LTD
- Rebecca Gedeon
- Kelsie Gentry
- Anthony Giang
- Lesley Gorley
All providers in White Settlement, TX · Massage Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2015. 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.