Organization
ELITE WELLNESS WACO LLC
Active
Other names
Elite Wellness Massage and Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUIS MANGRUM LMT (FOUNDER)
(254) 723-2400
Entity
Organization
Contact information
Practice address
1217 S HEWITT DR, HEWITT, TX 76643-3200
(254) 723-2400
Mailing address
1217 S HEWITT DR, HEWITT, TX 76643-3200
(254) 723-2400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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