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Organization

D ALEX MATTHEWS DBA ADVANCED THERAPEUTIC MASSAGE

Active
Other names
Advanced Therapeutic Massage
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICKI MATTHEWS LMT (MANAGER)
(512) 250-1168
Entity
Organization

Contact information

Practice address
200 BUTTERCUP CREEK BLVD, 119, CEDAR PARK, TX 78613-3708
(512) 250-1168
Mailing address
200 BUTTERCUP CREEK BLVD, 119, CEDAR PARK, TX 78613-3708
(512) 250-1168

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
TX
225700000X
Massage Therapist
Primary
ME2177
TX

Other

Enumeration date
11/16/2011
Last updated
11/21/2011
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