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NPI Code Detail

MEDICARE: MYRA BETH MORRISON LMT

MEDICARE: MYRA BETH MORRISON 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
1225700000XMassage TherapistMT133014TX

General Provider Information

NPI Number : 1669104584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRA BETH MORRISON LMT
Provider Business Mailing Address
First Line : 4400 MEMORIAL DR APT 2011
Second Line :
City : HOUSTON
State : TX
Zip : 77007-7356
Country : US
Telephone Number : 409-789-3742
Fax Number :
Provider Business Practice Location Address
First Line : 817 MILAM ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-5304
Country : US
Telephone Number : 714-322-1324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2022
Last Update Date : 06/29/2022

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Directions to “ MYRA BETH MORRISON LMT” Practice Location

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