Provider Demographics
NPI:1174762132
Name:MCPHERSON, PATRICIA E (RMT; MAR; ITEC; GIHT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:E
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:RMT; MAR; ITEC; GIHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:20103 ALDINE WESTFIELD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3391
Mailing Address - Country:US
Mailing Address - Phone:281-209-2080
Mailing Address - Fax:281-506-3878
Practice Address - Street 1:20103 ALDINE WESTFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3391
Practice Address - Country:US
Practice Address - Phone:281-209-2080
Practice Address - Fax:281-506-3878
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ6915173C00000X
TXMT020929225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist