Individual
DR. LORIE CAST-REBOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DACM, MSAOM, BS, LMT
Contact information
Practice address
7703 INGRAM RD APT 2707, SAN ANTONIO, TX 78251-1759
(816) 799-1307
Mailing address
7703 INGRAM RD APT 2707, SAN ANTONIO, TX 78251-1759
(816) 799-1307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
121987
TX
225700000X
Massage Therapist
2003016478
MO
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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