Provider Demographics
NPI:1063891562
Name:TOWNSEND, STEVEN (LMT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 N COLLINS BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2657
Mailing Address - Country:US
Mailing Address - Phone:972-365-3820
Mailing Address - Fax:
Practice Address - Street 1:2060 N COLLINS BLVD STE 109
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2657
Practice Address - Country:US
Practice Address - Phone:972-365-3820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT015898225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist