Provider Demographics
NPI:1902794829
Name:MORGENSTERN, LYDIA (LMT)
Entity type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:MORGENSTERN
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 1:353 PLACID MDW
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4901
Mailing Address - Country:US
Mailing Address - Phone:830-475-9695
Mailing Address - Fax:
Practice Address - Street 1:193 1/2 W SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5196
Practice Address - Country:US
Practice Address - Phone:830-475-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXMT133580225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist