Individual
MR. JIM SHANE AWBREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT.
Contact information
Practice address
2611 PLAZA PKWY, WICHITA FALLS, TX 76308-3886
(940) 642-4538
Mailing address
4309 DEHAVEN DR, WICHITA FALLS, TX 76302-2508
(940) 642-4538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT023444
TX
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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