Individual
CAROLYN RENE'E TIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 DEBBIE DR, MARION, TX 78124-1641
(210) 324-5988
Mailing address
263 PARK VALLEY DR, CIBOLO, TX 78108-3931
(210) 890-9449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
138050
TX
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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