MEDICARE: MRS. NATALIE CRIBLEY 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	MT043379	TX

General Provider Information

NPI Number	:	1093983637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE CRIBLEY L.M.T.

Provider Business Mailing Address
First Line	:	728 SKYLARK RD
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77502-4570
Country	:	US
Telephone Number	:	832-651-4180
Fax Number	:

Provider Business Practice Location Address
First Line	:	728 SKYLARK RD
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77502-4570
Country	:	US
Telephone Number	:	832-651-4180
Fax Number	:

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

Provider Enumeration Date	:	02/18/2008
Last Update Date	:	02/18/2008

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