# INGRID BADILLO GONZALEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578047981
- **Gender:** F
- **Credential:** LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 127296 | TX | Yes |
| 225700000X | Massage Therapist | MT127296 | TX | — |

## Other

- **Enumeration date:** 09/20/2018
- **Last updated:** 06/28/2026