MEDICARE: LYMPHATIC & MASSAGE STUDIO OF BARBARA WHITE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172M00000X	Mechanotherapist
2	202D00000X	Integrative Medicine Physician
3	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1740064104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYMPHATIC & MASSAGE STUDIO OF BARBARA WHITE

Provider Business Mailing Address
First Line	:	3560 DELAWARE ST STE 501
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-3061
Country	:	US
Telephone Number	:	409-626-1811
Fax Number	:

Provider Business Practice Location Address
First Line	:	3560 DELAWARE ST STE 501
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-3061
Country	:	US
Telephone Number	:	409-626-1811
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA GAIL WHITE
Credential	:	LMT, MTI, BCTMB, CLT
Telephone Number	:	409-626-1811

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	03/13/2026

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