Organization
DESTINY LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY BROWN LMT (PROVIDER)
(281) 975-7665
Entity
Organization
Contact information
Practice address
23221 ALDINE WESTFIELD RD STE 724, SPRING, TX 77373-8030
(281) 975-7665
Mailing address
PO BOX 541012, HOUSTON, TX 77254-1012
(281) 975-7665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123642
TX
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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