Healthcare Provider Details

I. General information

NPI: 1831785047
Provider Name (Legal Business Name): VALERIE MICHELLE BARRETT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2020
Last Update Date: 12/13/2020
Certification Date: 12/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25010 OAKHURST DR STE 130
SPRING TX
77386-2719
US

IV. Provider business mailing address

4703 SAN ANTONIO RIVER DR
SPRING TX
77386-3601
US

V. Phone/Fax

Practice location:
  • Phone: 281-546-2961
  • Fax:
Mailing address:
  • Phone: 281-546-2961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMT117903
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: