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NPI Code Detail

MEDICARE: MS. BRANDY MARTINEZ LOPEZ LMT

MEDICARE: MS. BRANDY MARTINEZ LOPEZ 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 Therapist149208TX

General Provider Information

NPI Number : 1811821481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRANDY MARTINEZ LOPEZ LMT
Provider Business Mailing Address
First Line : 407 CARSWELL TER
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-4438
Country : US
Telephone Number : 817-726-7042
Fax Number :
Provider Business Practice Location Address
First Line : 536 W RANDOL MILL RD STE 143
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-5738
Country : US
Telephone Number : 817-726-7042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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