Healthcare Provider Details

I. General information

NPI: 1942183868
Provider Name (Legal Business Name): LINA ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E CYPRESS CREEK RD STE 107
CEDAR PARK TX
78613-2980
US

IV. Provider business mailing address

200 E CYPRESS CREEK RD STE 107
CEDAR PARK TX
78613-2980
US

V. Phone/Fax

Practice location:
  • Phone: 737-477-4565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT136631
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: