Houston, Tina

Houston, Tina is an sole proprietor health care provider with primary practice located at 1210 Holden Dr , Augusta GA 30904-3831. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Houston, Tina can be contacted via phone (706) 750-4561.

Contact Information

Primary practice address
1210 Holden Dr Augusta GA 30904-3831
Phone: (706) 750-4561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT011736 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MY011736 Georgia

Profile Details

NPI number 1437779055
LBN Legal business name Houston, Tina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2020
Last updated Apr 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437779055 NPPES
Georgia MEDICAID MT011736

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