Bonnie Durham, LMT is a
Massage Therapist based in Aledo, Texas. Bonnie Durham is licensed to practice in Texas (license number MT014694) and her current practice location is
11911 Clovite Ct, Aledo, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 312-4536.
NPI number for Bonnie Durham is 1326653619 and her current mailing address is Po Box 121471, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326653619.
Healthcare Provider's Profile
| Full Name | Bonnie Durham |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 11911 Clovite Ct, Aledo, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326653619
- Provider Enumeration Date: 09/13/2020
- Last Update Date: 09/13/2020
Medical Identifiers
Medical identifiers for Bonnie Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326653619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT014694 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonnie Durham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bonnie Durham, LMT
Po Box 121471,
Fort Worth, TX 76121-1471
Ph: (817) 312-4536 | Bonnie Durham, LMT
11911 Clovite Ct,
Aledo, TX 76008-3509
Ph: (817) 312-4536 |
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