MEDICARE: MIRANDA CULVER

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	MT139435	TX

General Provider Information

NPI Number	:	1962334888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRANDA CULVER

Provider Business Mailing Address
First Line	:	500 WESTINGHOUSE RD APT 7120
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-5034
Country	:	US
Telephone Number	:	737-977-5023
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 E OLD SETTLERS BLVD STE 115
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2209
Country	:	US
Telephone Number	:	737-977-5023
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ MIRANDA CULVER ” Practice Location

Language	Start Address	Practice Location

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