Individual
SHERRY MAY KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12157 LIBERTY SCHOOL RD, AZLE, TX 76020-5413
(817) 444-9173
Mailing address
12157 LIBERTY SCHOOL RD, AZLE, TX 76020-5413
(817) 444-9173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004364
TX
Other
Enumeration date
11/11/2007
Last updated
06/09/2010
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