| Domanique Ingram, | |
|
501 N Spur 63 Ste C1, Longview, TX 75601-5010 | |
| (903) 746-6019 | |
| Not Available |
| Full Name | Domanique Ingram |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 501 N Spur 63 Ste C1, Longview, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205429180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT123998 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Domanique Ingram, 1203 W River Oaks Dr, Longview, TX 75604-5844 Ph: (903) 746-6019 | Domanique Ingram, 501 N Spur 63 Ste C1, Longview, TX 75601-5010 Ph: (903) 746-6019 |
Erik Moberg, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E South St, Longview, TX 75601 Phone: 903-230-1911 | |
Chelsa Elizabeth Connolly, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 414 E Loop 281 Ste 20, Longview, TX 75605 Phone: 903-309-3756 | |
Trenton Russell, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E South St, Longview, TX 75601 Phone: 903-230-1911 | |
Maria Resendez, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E South St, Longview, TX 75601 Phone: 903-230-1911 | |
Miss Cathy Yvonne Wynn, MT019073 Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1109 Evergreen St, Longview, TX 75604 Phone: 903-736-2969 | |
Tabitha Perry, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E South St, Longview, TX 75601 Phone: 903-230-1911 |