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NPI Code Detail

MEDICARE: RAINA BENTLEY LMT

MEDICARE: RAINA BENTLEY 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 TherapistMT126517TX

General Provider Information

NPI Number : 1720506587
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAINA BENTLEY LMT
Provider Business Mailing Address
First Line : 5301 CAMDEN LN
Second Line :
City : PEARLAND
State : TX
Zip : 77584-1149
Country : US
Telephone Number : 713-385-3963
Fax Number :
Provider Business Practice Location Address
First Line : 16626 SEA LARK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-5819
Country : US
Telephone Number : 281-488-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2017
Last Update Date : 02/28/2023

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Directions to “ RAINA BENTLEY LMT” Practice Location

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