Individual
MS. ELENA LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5104 MEYERS LN, FORT WORTH, TX 76244-6035
(817) 676-5532
Mailing address
5104 MEYERS LN, FORT WORTH, TX 76244-6035
(817) 676-5532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129769
TX
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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