Healthcare Provider Details

I. General information

NPI: 1417856410
Provider Name (Legal Business Name): NATASHA DANIELS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2026
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 N STATE HIGHWAY 161
IRVING TX
75063
US

IV. Provider business mailing address

7918 N GLEN DR APT 3027
IRVING TX
75063-7278
US

V. Phone/Fax

Practice location:
  • Phone: 562-888-2749
  • Fax:
Mailing address:
  • Phone: 562-888-2749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number136391
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: