Provider Demographics
NPI:1588107304
Name:MCCLIMANS, DONNA ANN (LMT, MMP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:ANN
Last Name:MCCLIMANS
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25901 IH 45 N
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3651
Mailing Address - Country:US
Mailing Address - Phone:936-672-7418
Mailing Address - Fax:
Practice Address - Street 1:25901 IH 45 N
Practice Address - Street 2:SUITE B
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3651
Practice Address - Country:US
Practice Address - Phone:936-672-7418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT116596225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist