Provider Demographics
NPI:1922590215
Name:LUX MOBILITY THERAPEUTICS LLC
Entity Type:Organization
Organization Name:LUX MOBILITY THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHENEE
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:281-748-7736
Mailing Address - Street 1:13328 1/2 ALMEDA RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-6628
Mailing Address - Country:US
Mailing Address - Phone:281-748-7736
Mailing Address - Fax:
Practice Address - Street 1:13328 1/2 ALMEDA RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-6628
Practice Address - Country:US
Practice Address - Phone:281-748-7736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24322225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty