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Marquita A Mccullough, LMT
Massage Therapist in Houston, Texas
NPI 1699422303

Marquita A Mccullough is a Massage Therapist based in Houston, TX. Marquita A Mccullough practices in Houston, TX and has the professional credentials of LMT. The NPI Number for Marquita A Mccullough is 1699422303 and holds a License No. MT136099 (Texas).

The current practice location address for Marquita A Mccullough is 11311 Richmond Ave Ste L100A, Houston, TX and can be reached out via phone at 702-375-9542.

Location: 11311 Richmond Ave Ste L100A, Houston, TX, 77082-5547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699422303
Provider Name
Marquita A Mccullough
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
11311 Richmond Ave Ste L100A, Houston, TX, 77082-5547
Phone Number
702-375-9542
Fax Number
Provider Enumeration Date
03/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT136099 01 TX MASSAGE LICENSE
institution
Provider Business Practice Location Address Details
Address
11311 Richmond Ave Ste L100A
City
Houston
State
Texas
Zip
77082-5547
Phone Number
702-375-9542
Fax Number
person
Provider Business Mailing Address Details
Address
11311 Richmond Ave Ste L100A
City
Houston
State
Texas
Zip
77082-5547
Phone Number
702-375-9542
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT136099 (Texas)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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