Individual
ASHLEY LYNN BOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22415 FM 1314 RD STE C, PORTER, TX 77365-4280
(281) 318-1762
Mailing address
21314 HUBBARD RUN DR, PORTER, TX 77365-6579
(713) 591-7648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127774
TX
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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