MEDICARE: MRS. HELEN K WARNER LVN, LMT

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	MT037532	TX

General Provider Information

NPI Number	:	1376756122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HELEN K WARNER LVN, LMT

Provider Business Mailing Address
First Line	:	8700 COVE MEADOW LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2505
Country	:	US
Telephone Number	:	817-370-8204
Fax Number	:	817-370-8634

Provider Business Practice Location Address
First Line	:	5701 WESTCREEK DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-3301
Country	:	US
Telephone Number	:	817-423-0021
Fax Number	:	817-370-8634

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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