Individual
SHELLEY LYNN DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S. CARROLL BLVD STE 202, DENTON, TX 76201-7620
(972) 251-3945
(972) 251-3945
Mailing address
525 S CARROLL BLVD STE 202, DENTON, TX 76201-7416
(972) 251-3945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122627
TX
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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