Individual
SHAWNEE DEAN TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 SWANEE DR APT A, AUSTIN, TX 78752-3018
(832) 691-2771
Mailing address
404 SWANEE DR APT A, AUSTIN, TX 78752-3018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT131357
TX
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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