Individual provider · Type 1 NPI
Meredyth Lynn Pradervand, LMT
Specialist · Burleson, TX
NPI number
1912048968
Active
Practice location
228 NE Wilshire Blvd, Suite C
Burleson, TX 76028-4126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT042023 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Burleson
About NPI 1912048968
Meredyth Lynn Pradervand, LMT's National Provider Identifier is 1912048968, issued on Feb 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Burleson, TX. The record was last updated on Jul 8, 2007.