Individual
REGINAH QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2022 82ND ST, UNIT 101, LUBBOCK, TX 79423-4300
(806) 686-3937
Mailing address
2022 82ND ST, UNIT 101, LUBBOCK, TX 79423-4300
(806) 686-3937
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123797
TX
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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