Provider Demographics
NPI:1831785047
Name:BARRETT, VALERIE MICHELLE (LMT)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:MICHELLE
Last Name:BARRETT
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 1:4703 SAN ANTONIO RIVER DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3601
Mailing Address - Country:US
Mailing Address - Phone:281-546-2961
Mailing Address - Fax:
Practice Address - Street 1:25010 OAKHURST DR STE 130
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2719
Practice Address - Country:US
Practice Address - Phone:281-546-2961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-13
Last Update Date:2020-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT117903172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty