Anna Burdette, LMT

Individual provider Active NPI Massage Therapist · The Colony, TX

NPI 1609468875 · NPPES record last updated Feb 9, 2021

Key facts

NPI
1609468875
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
132032 (TX)
Practice address
5129 Runyon Dr
The Colony, TX 75056-2573
Phone
(469) 684-1005
NPI assigned
Feb 9, 2021
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

LicenseStateTypeSpecialty
132032TXMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 132032 TX Yes

Addresses

Primary practice location

5129 Runyon Dr
The Colony, TX 75056-2573

Mailing address

5129 Runyon Dr
The Colony, TX 75056-2573
Phone (469) 684-1005

Other providers in The Colony, TX

All providers in The Colony, TX · Massage Therapist in Texas

Sources for this page

Verify at the official NPI Registry.