MEDICARE: NORIKO UTSUZAWA MS, LMT, CD

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	374J00000X	Doula
2	174N00000X	Lactation Consultant (Non-RN)
3	225700000X	Massage Therapist	MT114621	TX

General Provider Information

NPI Number	:	1346616471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORIKO UTSUZAWA MS, LMT, CD

Provider Business Mailing Address
First Line	:	2918 HUCKLEBERRY ST
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2958
Country	:	US
Telephone Number	:	281-633-6246
Fax Number	:

Provider Business Practice Location Address
First Line	:	2918 HUCKLEBERRY ST
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2958
Country	:	US
Telephone Number	:	281-633-6246
Fax Number	:

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

Provider Enumeration Date	:	08/12/2015
Last Update Date	:	02/04/2026

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