Johnathan Verdine, LMT, CMMP is a
Massage Therapist based in Hutchins, Texas. Johnathan Verdine is licensed to practice in Texas (license number MT124158) and his current practice location is
1205 Ridgewood Ln, Hutchins, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 859-2748.
NPI number for Johnathan Verdine is 1457863631 and his current mailing address is 1205 Ridgewood Ln, Hutchins, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457863631.
Healthcare Provider's Profile
| Full Name | Johnathan Verdine |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 1205 Ridgewood Ln, Hutchins, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457863631
- Provider Enumeration Date: 10/28/2017
- Last Update Date: 10/28/2017
Medical Identifiers
Medical identifiers for Johnathan Verdine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457863631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT124158 (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. Johnathan Verdine 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 |
|---|
Johnathan Verdine, LMT, CMMP
1205 Ridgewood Ln,
Hutchins, TX 75141-4144
Ph: (214) 859-2748 | Johnathan Verdine, LMT, CMMP
1205 Ridgewood Ln,
Hutchins, TX 75141-4144
Ph: (214) 859-2748 |
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