Individual
RAEANN MASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3501 W. 45TH ST, SUITE T, AMARILLO, TX 79109
(806) 355-3000
Mailing address
PO BOX 7339, AMARILLO, TX 79114-7339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122618
TX
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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