Individual
TYKISHA NADINA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E WRIGHT BLVD, UNIVERSAL CITY, TX 78148-4437
(210) 347-3274
Mailing address
10228 COLONEL RDG, SCHERTZ, TX 78154-3481
(210) 347-3274
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135333
TX
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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