Individual
GORDON STULER SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1708 E 17TH ST UNIT B, AUSTIN, TX 78702-1220
(978) 994-2911
Mailing address
1708 E 17TH ST UNIT B, AUSTIN, TX 78702-1220
(512) 666-1207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135458
TX
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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