MEDICARE: TIANA HOUSTON 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	LA103555	LA

General Provider Information

NPI Number	:	1700746633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIANA HOUSTON LMT

Provider Business Mailing Address
First Line	:	3103 MONTERREY DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-4024
Country	:	US
Telephone Number	:	281-219-5429
Fax Number	:	225-217-0237

Provider Business Practice Location Address
First Line	:	3103 MONTERREY DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-4024
Country	:	US
Telephone Number	:	281-219-5429
Fax Number	:	225-217-0237

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

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	11/13/2025

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