Provider Demographics
NPI:1184479750
Name:HOOT, JANICE LYNNE (LMT)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LYNNE
Last Name:HOOT
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 1:1205 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-4839
Mailing Address - Country:US
Mailing Address - Phone:936-404-7064
Mailing Address - Fax:
Practice Address - Street 1:1205 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-4839
Practice Address - Country:US
Practice Address - Phone:936-404-7064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT139336225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist