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NPI Code Detail

MEDICARE: ALEXIS LEA HILTON POEHL LMT

MEDICARE:   ALEXIS LEA HILTON POEHL  LMT
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
1225700000XMassage TherapistMT144441TX

General Provider Information

NPI Number : 1154121101
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS LEA HILTON POEHL LMT
Provider Business Mailing Address
First Line : 2376 KENDAL GREEN CIR
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-4840
Country : US
Telephone Number : 979-204-4225
Fax Number :
Provider Business Practice Location Address
First Line : 1748 ROCK PRAIRIE RD STE 8
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-5900
Country : US
Telephone Number : 979-204-4225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2025
Last Update Date : 03/18/2025

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Directions to “ ALEXIS LEA HILTON POEHL LMT” Practice Location

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