Individual
JUSTIN SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2809 W WILLIAM CANNON DR APT F108, AUSTIN, TX 78745-5176
(703) 867-5735
Mailing address
2809 W WILLIAM CANNON DR APT F108, AUSTIN, TX 78745-5176
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT136958
TX
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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