Individual
JOHN CARMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, RYT200
Contact information
Practice address
2200 S 5TH ST, AUSTIN, TX 78704-5014
(512) 744-5833
Mailing address
2200 S 5TH ST, AUSTIN, TX 78704-5014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT119924
TX
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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