MEDICARE: NATHANIA HELEN LIEM

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	225100000X	Physical Therapist	1407171	TX
2	225100000X	Physical Therapist	CP052500T	CO

General Provider Information

NPI Number	:	1518842244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIA HELEN LIEM

Provider Business Mailing Address
First Line	:	6318 GRAND BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-1020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8150 BOULEVARD 26
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-7202
Country	:	US
Telephone Number	:	817-498-8585
Fax Number	:

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

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	02/10/2026

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Directions to “ NATHANIA HELEN LIEM ” Practice Location

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