Individual
TIM LAUREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13601 PRESTON RD STE 620, DALLAS, TX 75240-4911
(415) 745-0210
Mailing address
6406 FORESTSHIRE DR, DALLAS, TX 75230-2821
(415) 745-0210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT144332
TX
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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