Individual provider · Type 1 NPI
Benjamin C. Sevidal, LMT
Massage Therapist · Houston, TX
NPI number
1285962746
Active
Practice location
6600 Harwin Dr Ste 110
Houston, TX 77036-2233
Fax (281) 861-5990
Mailing address
9422 Keegans Wood Dr
Houston, TX 77083-5954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT046676 (TX) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1285962746
Benjamin C. Sevidal, LMT's National Provider Identifier is 1285962746, issued on Nov 21, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Houston, TX. The record was last updated on Nov 21, 2009.