Individual provider · NPI-1

Jermetrice Nicole Alford, CTRS, LMT

Recreation Therapist · Houston, TX

NPI number1184155178
StatusActive
Last updated in NPPESMar 22, 2017

Details

NPI
1184155178
Entity type
Individual (NPI-1)
Name
Ms. Jermetrice Nicole Alford
Credential
CTRS, LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 22, 2017
Last updated
Mar 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225800000X Recreation Therapist54906TXYes
225700000X Massage Therapist120766TX

Practice location

12801 Roydon Dr
Apt #818
Houston, TX 77034

Phone 832-641-8660

Mailing address

12801 Roydon Dr
Apt #818
Houston, TX 77034

Phone 832-641-8660

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