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Individual

ADAM EDWARD SKIDMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
731 HOLLY SPRINGS DR, CONROE, TX 77302-3733
(936) 443-1975
Mailing address
731 HOLLY SPRINGS DR, CONROE, TX 77302-3733
(936) 443-1975

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT111730
TX

Other

Enumeration date
01/20/2012
Last updated
01/20/2012
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