Provider Demographics
NPI:1619866324
Name:VALESKI, MAYRA (ATP)
Entity type:Individual
Prefix:
First Name:MAYRA
Middle Name:
Last Name:VALESKI
Suffix:
Gender:F
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3754 SINGING FLOWER LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1784
Mailing Address - Country:US
Mailing Address - Phone:832-863-3900
Mailing Address - Fax:
Practice Address - Street 1:3754 SINGING FLOWER LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1784
Practice Address - Country:US
Practice Address - Phone:832-863-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92879225CA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner