Individual
MASON BEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
230 N PARK BLVD STE 101, GRAPEVINE, TX 76051-6981
(817) 480-0528
Mailing address
230 N PARK BLVD STE 101, GRAPEVINE, TX 76051-6981
(817) 480-0528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT027331
TX
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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