Individual
AMY ESTRELLA SURIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1750 S HWY 281, SUITE C, ALICE, TX 78332
(361) 207-5180
Mailing address
1750 S HWY 281, SUITE C, ALICE, TX 78332
(361) 207-5180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT134167
MASSAGE TREATMENTS
TX
Enumeration date
11/15/2022
Last updated
11/15/2022
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