Provider Demographics
NPI:1871123539
Name:HO, NATHALIE NHU THUY (LMT, CMMT)
Entity type:Individual
Prefix:
First Name:NATHALIE NHU
Middle Name:THUY
Last Name:HO
Suffix:
Gender:F
Credentials:LMT, CMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 VIRGINIA PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5510
Mailing Address - Country:US
Mailing Address - Phone:214-308-2670
Mailing Address - Fax:
Practice Address - Street 1:6510 VIRGINIA PKWY STE 201
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5510
Practice Address - Country:US
Practice Address - Phone:214-308-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125939225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist