Provider Demographics
NPI:1518458744
Name:SINGLETON, ERIN ABIGAIL (LMT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ABIGAIL
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11961 CADDO CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAVON
Mailing Address - State:TX
Mailing Address - Zip Code:75166-1855
Mailing Address - Country:US
Mailing Address - Phone:972-816-7671
Mailing Address - Fax:
Practice Address - Street 1:6162 E MOCKINGBIRD LN STE 190
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2624
Practice Address - Country:US
Practice Address - Phone:972-638-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116357225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty