Individual
JOSE LUIS RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
537 W KELLIS ST, FORT WORTH, TX 76115-1322
(817) 443-4687
Mailing address
537 W KELLIS ST, FORT WORTH, TX 76115-1322
(817) 443-4687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT124126
TX
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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