Individual
MRS. LAURA KUCZAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
113 LARCH CV, KYLE, TX 78640-5724
(512) 618-1568
Mailing address
113 LARCH CV, KYLE, TX 78640-5724
(512) 618-1568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT106519
TX
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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