Individual
MR. RAGHAVENDRAN NATARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6115 GINITA LN, AUSTIN, TX 78739-1640
(512) 653-7027
Mailing address
6115 GINITA LN, AUSTIN, TX 78739-1640
(512) 653-7027
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT116840
TX
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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