Individual
DESIREE MCDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6201 SUNSET DR # 111, FORT WORTH, TX 76116-5535
(682) 582-5556
Mailing address
6201 SUNSET DR # 650111, FORT WORTH, TX 76116-5535
(682) 582-5556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT121451
TX
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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