Individual
TITIA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6040 CAMP BOWIE BLVD, 17, FORT WORTH, TX 76116-5612
(817) 690-4462
Mailing address
6401 KELLY ELLIOTT RD, ARLINGTON, TX 76001-5131
(817) 690-4462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M117034
TX
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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