Doctor Name: | MRS. MIRTHA PATRICIA LIGHTSEY |
NPI Number: | 1821015736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, RMT |
License Number: | MT25368 |
Business Practice Address: | 2220 Coit Rd Ste 510 Plano, TX - 750753783 |
Business Phone Number: | 9727690945 |
Business Fax Number: | 9723983299 |
Mailing Address: | 2220 Coit Rd Ste 510, PLANO |
State: | TX |
Postal Code: | 750753783 |
Phone Number: | 9727690945 |
Fax Number: | 9723983299 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT25368 |
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. |