Individual
DUSTIN MICHAEL HIGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, LMTI, BAAS
Contact information
Practice address
641 N MAIN ST, ROCKDALE, TX 76567-2322
(512) 814-8164
Mailing address
649 N MAIN ST, ROCKDALE, TX 76567-2322
(512) 779-0388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT133171
TX
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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