Individual
IVERNONER C FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
797 COUNTY ROAD 250, FALLS CITY, TX 78113-2885
(210) 723-2728
Mailing address
797 COUNTY ROAD 250, FALLS CITY, TX 78113-2885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT147482
TX
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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