Individual
MS. SHARON KATIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4722 KEMP BLVD STE 120, WICHITA FALLS, TX 76308-5279
(719) 505-2463
Mailing address
906 S COLLEGE AVE, HOLLIDAY, TX 76366-3859
(719) 505-2463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127786
TX
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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