Individual
CANDACE BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1122 OAK PARK DR, DALLAS, TX 75232-1171
(214) 797-6566
Mailing address
1122 OAK PARK DR, DALLAS, TX 75232-1171
(214) 797-6566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT118978
TX
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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