Provider Demographics
NPI:1073210738
Name:DEERING, SARAI (LMMTI)
Entity Type:Individual
Prefix:
First Name:SARAI
Middle Name:
Last Name:DEERING
Suffix:
Gender:F
Credentials:LMMTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9639 DYER ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-4703
Mailing Address - Country:US
Mailing Address - Phone:915-702-4461
Mailing Address - Fax:
Practice Address - Street 1:9639 DYER ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4703
Practice Address - Country:US
Practice Address - Phone:915-702-4461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT114623225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist