Provider Demographics
NPI:1245667278
Name:JONES, ERIKA (LMT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:JONES
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 1:6212 RHINE BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3019
Mailing Address - Country:US
Mailing Address - Phone:915-799-3972
Mailing Address - Fax:915-821-5932
Practice Address - Street 1:4201 CAMELOT HTS
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6192
Practice Address - Country:US
Practice Address - Phone:915-799-3972
Practice Address - Fax:915-821-5932
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT114702225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist