Individual
DINA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3201 SPEEDWAY, APT 2, AUSTIN, TX 78705-2345
(512) 619-0828
Mailing address
3201 SPEEDWAY, APT 2, AUSTIN, TX 78705-2345
(512) 619-0828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
043737
TX
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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