Provider Demographics
NPI:1023605391
Name:LAKHANI, ANTONIA APRIL (LMT)
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:APRIL
Last Name:LAKHANI
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 1:12850 SPURLING STREET STE 135
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7219
Mailing Address - Country:US
Mailing Address - Phone:972-207-0179
Mailing Address - Fax:
Practice Address - Street 1:12850 SPURLING STREET STE 135
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7219
Practice Address - Country:US
Practice Address - Phone:972-207-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112779225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist