Provider Demographics
NPI:1831951326
Name:LITCH, KARLA G (LMT)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:G
Last Name:LITCH
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 1:2400 HACKETT DR APT 113P
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1377
Mailing Address - Country:US
Mailing Address - Phone:770-757-7921
Mailing Address - Fax:
Practice Address - Street 1:2400 HACKETT DR APT 113P
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1377
Practice Address - Country:US
Practice Address - Phone:770-757-7921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT138253225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist