Doctor Name: | VERONICA MONCIVAIS |
NPI Number: | 1043568702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | MT044504 |
Business Practice Address: | 1019 W Highway 83 Ste. P Alamo, TX - 785162530 |
Business Phone Number: | 9567878255 |
Business Fax Number: | 9567829977 |
Mailing Address: | 1019 W Highway 83, Ste. P ALAMO |
State: | TX |
Postal Code: | 785162530 |
Phone Number: | 9567878255 |
Fax Number: | 9567829977 |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT044504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |