Provider Demographics
NPI:1073789046
Name:VERRETT, RICHARD JARED (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JARED
Last Name:VERRETT
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:JARED
Other - Last Name:VERRETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NATUROPATH
Mailing Address - Street 1:2601 N TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4039
Mailing Address - Country:US
Mailing Address - Phone:956-447-2444
Mailing Address - Fax:
Practice Address - Street 1:2601 N TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4039
Practice Address - Country:US
Practice Address - Phone:956-447-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT 011057225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist