Individual
MARY M BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2873 HWY 90 E, CASTROVILLE, TX 78009-5408
(830) 931-7653
Mailing address
PO BOX 164, CASTROVILLE, TX 78009-0164
(830) 931-7653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109076
TX
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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