Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA GREEN, MT
Active Sole ProprietorLYDIA GREEN, MT is a Massage Therapist healthcare provider located in HOLLY LAKE RANCH, Texas. NPI 1659154839 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · HOLLY LAKE RANCH, TX
Registration Details
- NPI Number
- 1659154839
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2023 (2.8192803749425 yrs)
- Last Updated
- Aug 14, 2023
- License
-
MT134768 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2250 S FM 2869 STE 5HOLLY LAKE RANCH, TX, 757654974Browse TX providers · Browse ZIP 75765
- Phone
- 9035694286
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.