Individual
DEAVIN LEE SHALER -MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2761 W MAIN ST STE 9, INGLESIDE, TX 78362-5751
(361) 502-1793
Mailing address
6325 SENATORS CT, CORPUS CHRISTI, TX 78413-2535
(361) 502-1793
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134947
TX
Other
Enumeration date
12/22/2023
Last updated
11/19/2025
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