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Individual

MICHELLE TULLOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
2525 W ANDERSON LN, SUITE SP5, AUSTIN, TX 78757-1180
(512) 461-4261
Mailing address
1900 SCOFIELD RIDGE PKWY, APT 803, AUSTIN, TX 78727-1600

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT110228
TX

Other

Enumeration date
09/15/2014
Last updated
09/15/2014
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