Individual
MRS. PEGGY SUE HICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
176 CEDAR DR, AZLE, TX 76020-8836
(817) 454-3570
(817) 444-5700
Mailing address
176 CEDAR DR, AZLE, TX 76020-8836
(817) 454-3570
(817) 444-5700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT033884
TX
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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