Individual
FARON KEITH PASCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL MASSAGE THER
Contact information
Practice address
5020 50TH ST UNIT 101, YORKTOWN PLAZA, LUBBOCK, TX 79414-3422
(806) 548-6061
Mailing address
5020 50TH ST UNIT 101, YORKTOWN PLAZA, LUBBOCK, TX 79414-3422
(806) 548-6061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT102936
TX
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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