Provider Demographics
NPI:1689008716
Name:HOUGHTON, DIDI (LMT, LMTI, CMMT)
Entity Type:Individual
Prefix:
First Name:DIDI
Middle Name:
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:LMT, LMTI, CMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 DUNIVEN CIR
Mailing Address - Street 2:STE 7
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1625
Mailing Address - Country:US
Mailing Address - Phone:806-678-8051
Mailing Address - Fax:
Practice Address - Street 1:2910 DUNIVEN CIR
Practice Address - Street 2:STE 7
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1625
Practice Address - Country:US
Practice Address - Phone:806-678-8051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT106078173C00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No173C00000XOther Service ProvidersReflexologist