Individual
LYSIANNE SEIGLER BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
891 VZ COUNTY ROAD 3411, WILLS POINT, TX 75169-7591
(972) 400-0072
Mailing address
891 VZ COUNTY ROAD 3411, WILLS POINT, TX 75169-7591
(972) 400-0072
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT100595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT100595
MASSAGE THERAPY
TX
Enumeration date
11/29/2022
Last updated
11/29/2022
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