Individual
TERESA LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 OLD NORTH RD STE 100B, DENTON, TX 76209-1524
(817) 343-6213
Mailing address
1925 PARK PLACE BLVD APT 707, BEDFORD, TX 76021-5850
(817) 343-6213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132723
TX
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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