MEDICARE: MS. LAURA JA'NEE BARTON L.M.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	LMT#041230	TX

General Provider Information

NPI Number	:	1083847594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA JA'NEE BARTON L.M.T.

Provider Business Mailing Address
First Line	:	1355 W GRAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-476-1440
Fax Number	:	713-526-2191

Provider Business Practice Location Address
First Line	:	1355 W GRAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-476-1440
Fax Number	:	713-526-2191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	08/31/2009

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