Provider Demographics
NPI:1740001445
Name:FLOOD, CHEONA (LMT, MMT, CFP)
Entity type:Individual
Prefix:MS
First Name:CHEONA
Middle Name:
Last Name:FLOOD
Suffix:
Gender:F
Credentials:LMT, MMT, CFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77851-2311
Mailing Address - Country:US
Mailing Address - Phone:361-779-0774
Mailing Address - Fax:
Practice Address - Street 1:3272 E BROADWAY ST.
Practice Address - Street 2:#22
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-4502
Practice Address - Country:US
Practice Address - Phone:361-779-0774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109363225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist