Individual
LESLIE ANN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7101 WANDERING OAK RD, AUSTIN, TX 78749-1892
(512) 796-6399
Mailing address
4970 W HIGHWAY 290, SUITE 480, AUSTIN, TX 78735-6748
(512) 796-6399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT028405
TX
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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