Individual
VICKI S BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT,MTI
Contact information
Practice address
1717 NORFOLK AVE BLDG B, #1371, LUBBOCK, TX 79416-6035
(806) 792-2085
(806) 794-9283
Mailing address
PO BOX 64549, LUBBOCK, TX 79464-4549
(806) 438-2125
(806) 794-9283
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MIO1968
TX
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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