Individual
CHRISTINA MICHELLE79 ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8321 WHITE SETTLEMENT RD, WHITE SETTLEMENT, TX 76108-1606
(817) 253-8341
Mailing address
8321 WHITE SETTLEMENT RD, WHITE SETTLEMENT, TX 76108-1606
(817) 253-8341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT018910
TX
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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