Individual
ETHO PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6321 SCOTSDALE DR, FOREST HILL, TX 76119-7623
(817) 637-7366
Mailing address
6321 SCOTSDALE DR, FOREST HILL, TX 76119-7623
(817) 637-7366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132803
TX
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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