MEDICARE: KAREN M GOINS LMT, RMA,CNA,MA,LMTI

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	MT122519	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	022918	OTHER	TX	OPTUM

General Provider Information

NPI Number	:	1528432614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN M GOINS LMT, RMA,CNA,MA,LMTI

Provider Business Mailing Address
First Line	:	2045 SPACE PARK DR STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-6305
Country	:	US
Telephone Number	:	832-892-0225
Fax Number	:	281-720-3451

Provider Business Practice Location Address
First Line	:	2045 SPACE PARK DR STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-6305
Country	:	US
Telephone Number	:	832-892-0225
Fax Number	:

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

Provider Enumeration Date	:	11/30/2015
Last Update Date	:	08/27/2025

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