MEDICARE: THULA DOULA MASSAGE

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

General Provider Information

NPI Number	:	1447049192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THULA DOULA MASSAGE

Provider Business Mailing Address
First Line	:	9701 N SAM HOUSTON PKWY E STE 200
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4636
Country	:	US
Telephone Number	:	832-350-8516
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 N SAM HOUSTON PKWY E STE 200
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4636
Country	:	US
Telephone Number	:	832-350-8516
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIGNON FIELDS
Credential	:	LMT
Telephone Number	:	832-350-8516

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	02/12/2026

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