Organization
GREEN FAMILY MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA GREEN MT (OWNER/MT)
(903) 569-4286
Entity
Organization
Contact information
Practice address
2250 S FM 2869 STE 5, HOLLY LAKE RANCH, TX 75765-4974
(903) 569-4286
Mailing address
621 N FM 312, WINNSBORO, TX 75494-7628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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