Individual
LORI E GREENHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3537 SUMMIT LN, SAN ANGELO, TX 76904-8161
(325) 226-2173
Mailing address
3537 SUMMIT LN, SAN ANGELO, TX 76904-8161
(325) 226-2173
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107307
TX
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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