Individual
HEATHER RENEE STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2216 PADRE BLVD STE B162, S PADRE ISLE, TX 78597-0204
(956) 407-3161
Mailing address
2216 PADRE BLVD STE B162, S PADRE ISLE, TX 78597-0204
(956) 407-3161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT035690
TX
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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