Individual
MRS. MIRTHA PATRICIA LIGHTSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RMT
Contact information
Practice address
2220 COIT RD STE 510, PLANO, TX 75075-3783
(972) 769-0945
(972) 398-3299
Mailing address
2220 COIT RD STE 510, PLANO, TX 75075-3783
(972) 769-0945
(972) 398-3299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT25368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
(940)380-4078
AETNA PIN
TX
01
—
0016NR
BLUE CROSS - CLINIC PIN
TX
01
—
666606
UNITED HEALTHCARE PIN
TX
Enumeration date
07/16/2006
Last updated
07/08/2007
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