Provider Demographics
NPI:1184468175
Name:TOTALBODY, TERIE (MT)
Entity type:Individual
Prefix:
First Name:TERIE
Middle Name:
Last Name:TOTALBODY
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:TERESA
Other - Last Name:PINALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT
Mailing Address - Street 1:500 E BEAUMONT AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-578-9433
Mailing Address - Fax:
Practice Address - Street 1:500 E BEAUMONT AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-578-9433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT027283225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist