Provider Demographics
NPI:1780407684
Name:SKARPA, LAURA DENICE (LMT, LMTI)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:DENICE
Last Name:SKARPA
Suffix:
Gender:F
Credentials:LMT, LMTI
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:DENICE
Other - Last Name:WARWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1718 HARLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1794
Mailing Address - Country:US
Mailing Address - Phone:254-338-7777
Mailing Address - Fax:
Practice Address - Street 1:101 WEST FM 2410
Practice Address - Street 2:SUITE C
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548
Practice Address - Country:US
Practice Address - Phone:254-519-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT100217225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty