Individual
JUSTIN DAVID MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
232 COOPER DR, HURST, TX 76053-6129
(817) 845-3515
Mailing address
232 COOPER DR, HURST, TX 76053-6129
(817) 845-3515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT108559
TX
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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