Organization
THE GREAT ESCAPE
Active
Parent organization
THERAPEUTIC MASSAGE
Other names
none
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERAPEUTIC MASSAGE
Authorized official
MRS. MARY LEE WATSON MLT (LICENSED MASSAGE THERAPIST)
(940) 736-3156
Entity
Organization
Contact information
Practice address
1500 E HIGHWAY 82, SUITE -26, GAINESVILLE, TX 76240-2831
(940) 736-3156
Mailing address
1500 E HIGHWAY 82, SUITE -26, GAINESVILLE, TX 76240-2831
(940) 736-3156
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MT101857
TX
Other
Enumeration date
02/10/2008
Last updated
02/10/2008
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