Provider Demographics
NPI:1669852398
Name:CASTLE-STEPTOE, MONICA (LMT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CASTLE-STEPTOE
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 1:1808 BRAMBLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-1741
Mailing Address - Country:US
Mailing Address - Phone:469-245-6806
Mailing Address - Fax:972-223-1886
Practice Address - Street 1:1808 BRAMBLE CREEK DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-1741
Practice Address - Country:US
Practice Address - Phone:469-245-6806
Practice Address - Fax:972-223-1886
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT114262225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist