Provider Demographics
NPI:1821454877
Name:BOYD, HELEN (LMT)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:BOYD
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:PO BOX 741343
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-1343
Mailing Address - Country:US
Mailing Address - Phone:713-998-7846
Mailing Address - Fax:
Practice Address - Street 1:11200 BROADWAY STREET
Practice Address - Street 2:STE 1410 ROOM# 28
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2278
Practice Address - Country:US
Practice Address - Phone:713-998-7846
Practice Address - Fax:713-998-7846
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT013963225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist