Individual
ILSE LUISE ASHBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
906 E 5TH ST STE 107, AUSTIN, TX 78702-3858
(512) 264-4500
Mailing address
2409 TOWN LAKE CIR APT 416, AUSTIN, TX 78741-3089
(512) 264-4500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT128220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT128220
TDLR
TX
Enumeration date
11/07/2025
Last updated
11/07/2025
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