Individual
AUDRA KATHLEEN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 BLACKSON AVE # A, AUSTIN, TX 78752-2615
(512) 925-8869
Mailing address
508 BLACKSON AVE # A, AUSTIN, TX 78752-2615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT136491
TX
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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