Individual
LISA HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E RAMSEY RD, SAN ANTONIO, TX 78216-4636
(210) 392-8707
Mailing address
PO BOX 792293, SAN ANTONIO, TX 78279-2293
(210) 392-8707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
100700
TX
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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