Individual
BRANDIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 JUSTIN RD STE 300, FLOWER MOUND, TX 75028-4323
(469) 404-0252
Mailing address
1651 JUSTIN RD STE 300, FLOWER MOUND, TX 75028-4323
(469) 404-0252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT115905
TX
225700000X
Massage Therapist
MT115905
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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