Individual
MICHELE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 BOAT CLUB ROAD, SUITE 240 # 239, FORT WORTH, TX 76179-7734
(817) 269-4777
Mailing address
8101 BOAT CLUB ROAD, SUITE 240 # 239, FORT WORTH, TX 76179-7734
(817) 269-4777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
128682
TX
Other
Enumeration date
09/13/2017
Last updated
04/22/2021
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