Individual
GENESIS MACHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 SABINE DR, CEDAR CREEK, TX 78612-3589
(512) 786-0993
Mailing address
200 SABINE DR, CEDAR CREEK, TX 78612-3589
(512) 786-0993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127749
TX
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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