MEDICARE: COY GENE POWERS 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	MT137594	TX

General Provider Information

NPI Number	:	1982403283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COY GENE POWERS LMT

Provider Business Mailing Address
First Line	:	7511 AVENUE E
Second Line	:
City	:	SANTA FE
State	:	TX
Zip	:	77510-8007
Country	:	US
Telephone Number	:	832-425-9095
Fax Number	:

Provider Business Practice Location Address
First Line	:	7511 AVENUE E
Second Line	:
City	:	SANTA FE
State	:	TX
Zip	:	77510-8007
Country	:	US
Telephone Number	:	832-425-9095
Fax Number	:

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

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	03/10/2025

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Directions to “ COY GENE POWERS LMT” Practice Location

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