Individual
MR. DECKLLAN MARCKLE HARTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2525 WALLINGWOOD DR BLDG 12, AUSTIN, TX 78746-6932
(512) 784-6163
Mailing address
2525 WALLINGWOOD DR BLDG 12, AUSTIN, TX 78746-6932
(512) 784-6163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
119083
TX
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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