MEDICARE: MRS. ALLANA MANNING LMT, MMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	048012	TX

General Provider Information

NPI Number	:	1093082687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLANA MANNING LMT, MMP

Provider Business Mailing Address
First Line	:	2150 FIR SPRINGS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 FIR SPRINGS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1704
Country	:	US
Telephone Number	:	281-235-3304
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2011
Last Update Date	:	11/26/2011

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