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NPI Code Detail

MEDICARE: MS. MANIKA CHRISTINE SCOTT MASSAGE THERAPIST

MEDICARE:  MS. MANIKA CHRISTINE SCOTT  MASSAGE THERAPIST
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
1225700000XMassage Therapist#MT023832TX

General Provider Information

NPI Number : 1356583207
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MANIKA CHRISTINE SCOTT MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 12662 NEWBROOK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77072-3916
Country : US
Telephone Number : 832-723-8640
Fax Number :
Provider Business Practice Location Address
First Line : 6575 WEST LOOP SOUTH
Second Line : 580
City : HOUSTON/BELLAIRE
State : TX
Zip : 77401
Country : US
Telephone Number : 832-723-8640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2009
Last Update Date : 03/24/2009

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Directions to “ MS. MANIKA CHRISTINE SCOTT MASSAGE THERAPIST” Practice Location

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