Individual
MRS. REBECCA THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1215 SAM HOUSTON AVE, HUNTSVILLE, TX 77340-4637
(713) 591-3548
Mailing address
111 HERITAGE OAK DR, HUNTSVILLE, TX 77320-3081
(713) 591-3548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT048798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT048798
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
01/11/2021
Last updated
01/11/2021
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