Provider Demographics
NPI:1396901294
Name:GATLING, MUSATYE MERIRAH (LMT)
Entity type:Individual
Prefix:
First Name:MUSATYE
Middle Name:MERIRAH
Last Name:GATLING
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 1:19818 LAJUANA LN.
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-6120
Mailing Address - Country:US
Mailing Address - Phone:281-733-8532
Mailing Address - Fax:281-404-9013
Practice Address - Street 1:19782 HIGHWAY 105 W
Practice Address - Street 2:STE 122
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-3103
Practice Address - Country:US
Practice Address - Phone:281-733-8532
Practice Address - Fax:281-404-9013
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT 106066225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist