Individual
DRUE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, MMP
Contact information
Practice address
2304 9TH ST, WICHITA FALLS, TX 76301-4031
(940) 636-2846
Mailing address
4667 UNIVERSITY AVE, WICHITA FALLS, TX 76308-3353
(940) 636-2846
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT110419
TX
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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