Provider Demographics
NPI:1285939496
Name:KEY, PATRICIA M (LMT, CMMP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:M
Last Name:KEY
Suffix:
Gender:F
Credentials:LMT, CMMP
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:MARIE
Other - Last Name:SCHMOKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19295 W US HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-5888
Mailing Address - Country:US
Mailing Address - Phone:903-815-1231
Mailing Address - Fax:
Practice Address - Street 1:19295 W US HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-5888
Practice Address - Country:US
Practice Address - Phone:903-815-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT040518T225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist