Individual
MARTHA IGLEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4219 IRIONA BND, AUSTIN, TX 78749-4914
(512) 282-2559
Mailing address
4219 IRIONA BND, AUSTIN, TX 78749-4914
(512) 282-2559
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT046286
TX
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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