MEDICARE: PETRINA CELESTE HUFF 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
1	225700000X	Massage Therapist	MT147164	TX

General Provider Information

NPI Number	:	1285513655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETRINA CELESTE HUFF LMT

Provider Business Mailing Address
First Line	:	8110 CICADA DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5762
Country	:	US
Telephone Number	:	832-331-9714
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 CICADA DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5762
Country	:	US
Telephone Number	:	832-331-9714
Fax Number	:

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

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	08/29/2025

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