Individual
MICHELLE LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4634 CAMP BOWIE BLVD, FORT WORTH, TX 76107-3744
(817) 735-3839
(817) 735-3837
Mailing address
4634 CAMP BOWIE BLVD, FORT WORTH, TX 76107-3744
(817) 735-3839
(817) 735-3837
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT108158
TX
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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