Organization
EQUILIBRIUM MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GLENN PETERS JR. LMT (CEO)
(214) 310-0414
Entity
Organization
Contact information
Practice address
6320 LBJ FWY STE 122, DALLAS, TX 75240-6428
(214) 310-0414
Mailing address
6320 LBJ FWY STE 122, DALLAS, TX 75240-6428
(214) 310-0414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT116421
TX
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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