Provider Demographics
NPI:1295488922
Name:MOORHOUSE, LYNDSY SUZETTE (LMT)
Entity type:Individual
Prefix:MRS
First Name:LYNDSY
Middle Name:SUZETTE
Last Name:MOORHOUSE
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 1:119 W PARKWOOD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5420
Mailing Address - Country:US
Mailing Address - Phone:832-231-7504
Mailing Address - Fax:
Practice Address - Street 1:119 W PARKWOOD AVE STE 1
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5420
Practice Address - Country:US
Practice Address - Phone:832-231-7504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT043939225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist