Healthcare Provider Details

I. General information

NPI: 1952274391
Provider Name (Legal Business Name): REBECCA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1273 E ALTON GLOOR BLVD STE B
BROWNSVILLE TX
78526-3919
US

IV. Provider business mailing address

114 VIRTUDES ST
BROWNSVILLE TX
78526-1879
US

V. Phone/Fax

Practice location:
  • Phone: 956-621-0794
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT110313
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: