Individual
LETICIA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICMASSAGE THERAPIST
Contact information
Practice address
4666 MCDERMOTT RD SUITE 100, PLANO, TX 75024
(972) 668-6868
Mailing address
PO BOX 118381, CARROLLTON, TX 75011-8381
(469) 381-4181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT102405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT102405
LICENSE MASSAGE THERAPY
TX
Enumeration date
02/28/2018
Last updated
02/28/2018
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