Individual provider · NPI-1

Myah Arlette Roberson, LMT

Mechanotherapist · Houston, TX

NPI number1902188121
StatusActive
Last updated in NPPESSep 14, 2011

Details

NPI
1902188121
Entity type
Individual (NPI-1)
Name
Ms. Myah Arlette Roberson
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2011
Last updated
Sep 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172M00000X Mechanotherapist112531TXYes

Practice location

5419 Ennis Avenue
#4
Houston, TX 77004

Phone 713-456-0626

Mailing address

Po Box 8172
Houston, TX 77288-8172

Phone 713-456-0626

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