Norma Jean Anaya, MT

Individual provider Active NPI Massage Therapist · San Antonio, TX

NPI 1669879854 · NPPES record last updated May 19, 2023

Key facts

NPI
1669879854
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT112642 (TX)
Practice address
12239 Ecksminster St
San Antonio, TX 78216-2937
Phone
(210) 392-8244
NPI assigned
Dec 3, 2014
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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT112642TXMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT112642 TX Yes

Addresses

Primary practice location

12239 Ecksminster St
San Antonio, TX 78216-2937

Mailing address

14121 Gray Wing St
San Antonio, TX 78231-1610
Phone (210) 392-8244

Other providers in San Antonio, TX

All providers in San Antonio, TX · Massage Therapist in Texas

Sources for this page

Verify at the official NPI Registry.