Provider Demographics
NPI:1750192175
Name:TAMPLAIN, ABBEY MICHELLE (LMT)
Entity type:Individual
Prefix:MRS
First Name:ABBEY
Middle Name:MICHELLE
Last Name:TAMPLAIN
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 1:71032 JIMENEZ ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:FORT CAVAZOS
Mailing Address - State:TX
Mailing Address - Zip Code:76544-1761
Mailing Address - Country:US
Mailing Address - Phone:931-231-0309
Mailing Address - Fax:
Practice Address - Street 1:220 COMMERCIAL DR STE D
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2566
Practice Address - Country:US
Practice Address - Phone:254-680-7546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT138547225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist