Kyishia Garrett
Individual provider Active NPI Massage Therapist · Center, TX
NPI 1831948017 · NPPES record last updated May 18, 2024
Key facts
- NPI
- 1831948017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT138161 (TX)
- Practice address
- 210 Walker St
Center, TX 75935-3545 - Phone
- (936) 332-8993
- NPI assigned
- May 18, 2024
- 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 |
|---|---|---|---|
| MT138161 | TX | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT138161 | TX | Yes |
Addresses
Primary practice location
210 Walker St
Center, TX 75935-3545
Mailing address
210 Walker St
Center, TX 75935
Phone (936) 332-8993
Other providers in Center, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2024. 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.