Healthcare Provider Details

I. General information

NPI: 1609675180
Provider Name (Legal Business Name): LEYAH RENEE RICE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 MANVEL RD
PEARLAND TX
77584-7537
US

IV. Provider business mailing address

109 N SHIRLEY ST
ALVIN TX
77511-2561
US

V. Phone/Fax

Practice location:
  • Phone: 281-997-1333
  • Fax: 281-997-1335
Mailing address:
  • Phone: 832-885-7484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT143533
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: