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Individual

TRAVIS BERLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT

Contact information

Practice address
5200 GASTON AVE APT 101, DALLAS, TX 75214-5226
(504) 413-0547
Mailing address
5200 GASTON AVE APT 101, DALLAS, TX 75214-5226
(504) 413-0547

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
132700
TX

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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