Individual
MR. EARL LEONARD LOAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
4005 SW 50TH AVE, AMARILLO, TX 79109-6125
(806) 355-7299
Mailing address
4005 SW 50TH AVE, AMARILLO, TX 79109-6125
(806) 355-7299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT017937
TX
Other
Enumeration date
08/06/2007
Last updated
09/05/2007
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