Provider Demographics
NPI:1609675180
Name:RICE, LEYAH RENEE (LMT)
Entity type:Individual
Prefix:MRS
First Name:LEYAH
Middle Name:RENEE
Last Name:RICE
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 N SHIRLEY ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2561
Mailing Address - Country:US
Mailing Address - Phone:832-885-7484
Mailing Address - Fax:
Practice Address - Street 1:2723 MANVEL RD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7537
Practice Address - Country:US
Practice Address - Phone:281-997-1333
Practice Address - Fax:281-997-1335
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT143533225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist