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Individual

MR. WITHERS REA LEE V

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7349 HONEYSUCKLE STE 120, TEMPLE, TX 76502-5888
(254) 780-6344
Mailing address
708 WAGON WHEEL, HARKER HEIGHTS, TX 76548-2436
(727) 542-7441

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT141703
TX

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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