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2024 Wenneca Ave, Ft. Worth, TX 76102 | |
(832) 453-5603 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Massage Therapist |
Location | 2024 Wenneca Ave, Ft. Worth, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1376878546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225700000X | Massage Therapist | MT101445 (Texas) | Primary |
Mailing Address | Practice Location Address |
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2024 Wenneca Ave, Ft. Worth, TX 76102 Ph: (832) 453-5603 | 2024 Wenneca Ave, Ft. Worth, TX 76102 Ph: (832) 453-5603 |