Provider Demographics
NPI:1558152603
Name:TURNER, ANITA (LMT)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:TURNER
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 1:3310 OAKWELL CT APT 33150
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-5106
Mailing Address - Country:US
Mailing Address - Phone:210-556-2466
Mailing Address - Fax:
Practice Address - Street 1:11230 WEST AVE STE 2209
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1360
Practice Address - Country:US
Practice Address - Phone:210-556-2466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT102668225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist