Individual
SHAUNA CATHLEEN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4305 S HULEN ST, FORT WORTH, TX 76109-4917
(682) 225-6090
Mailing address
4305 S HULEN ST, FORT WORTH, TX 76109-4917
(682) 225-6090
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
110355
TX
225700000X
Massage Therapist
Primary
113055
TX
Other
Enumeration date
05/02/2013
Last updated
08/28/2013
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