MEDICARE: NELLY ESTER MARTINEZ MASSAGE THERAPIST

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	MT130775	TX

General Provider Information

NPI Number	:	1730039421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELLY ESTER MARTINEZ MASSAGE THERAPIST

Provider Business Mailing Address
First Line	:	18303 MADISONS CROSSING LN
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-7621
Country	:	US
Telephone Number	:	414-491-9112
Fax Number	:

Provider Business Practice Location Address
First Line	:	9595 SIX PINES DR STE 4250
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-4405
Country	:	US
Telephone Number	:	414-491-9112
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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