Provider Demographics
NPI:1114765864
Name:WEBB, JALEEMA (LMT, BCTMB)
Entity type:Individual
Prefix:
First Name:JALEEMA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:LMT, BCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2393
Mailing Address - Country:US
Mailing Address - Phone:330-524-3816
Mailing Address - Fax:
Practice Address - Street 1:2650 PEARLAND PARKWAY #196
Practice Address - Street 2:SUITE 20
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5354
Practice Address - Country:US
Practice Address - Phone:832-685-1081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT127651225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist