Provider Demographics
NPI:1376061325
Name:LEWIS, MONICA (LMT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:HEALING HANDS
Other - Middle Name:
Other - Last Name:MASSAGE & WELLNESS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DBA
Mailing Address - Street 1:PO BOX 152992
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-8992
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4305 S BOWEN RD STE 141D
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-4964
Practice Address - Country:US
Practice Address - Phone:682-433-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT122119225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist