Provider Demographics
NPI:1932995990
Name:STEPHENSON, JUDY CAROL (LMT)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:CAROL
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15300 CUTTEN RD # 3321
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3363
Mailing Address - Country:US
Mailing Address - Phone:817-851-6197
Mailing Address - Fax:
Practice Address - Street 1:12075 SPRING CYPRESS RD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-8040
Practice Address - Country:US
Practice Address - Phone:832-497-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist