Provider Demographics
NPI:1023270519
Name:ADKINS, NAOMI FAYE (LMT)
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:FAYE
Last Name:ADKINS
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 1:730 VZCR 1605
Mailing Address - Street 2:
Mailing Address - City:GRAND SALINE
Mailing Address - State:TX
Mailing Address - Zip Code:75140-5482
Mailing Address - Country:US
Mailing Address - Phone:903-275-5518
Mailing Address - Fax:
Practice Address - Street 1:730 VZCR 1605
Practice Address - Street 2:
Practice Address - City:GRAND SALINE
Practice Address - State:TX
Practice Address - Zip Code:75140-5482
Practice Address - Country:US
Practice Address - Phone:903-275-5518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT043153225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist