Individual
BRANDI RACHELLE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6603 SANGER AVE, WACO, TX 76710-4252
(254) 716-3280
Mailing address
6603 SANGER AVE, WACO, TX 76710-4252
(254) 716-3280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT102077
TX
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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