Individual
TIERRA DENAE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 LOWER ELGIN RD, ELGIN, TX 78621-5702
(214) 403-2890
Mailing address
1295 LOWER ELGIN RD, ELGIN, TX 78621-5702
(512) 333-1275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134744
TX
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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