Individual
MONICA AHRNES-TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PAINT BRUSH CT, BURLESON, TX 76028-2588
(817) 807-2160
Mailing address
1400 PAINT BRUSH CT, BURLESON, TX 76028-2588
(817) 807-2160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT115043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT115043
REHAB
TX
Enumeration date
07/28/2014
Last updated
07/28/2014
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