Individual
SARA ILLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 MANOR RD, SUITE F, AUSTIN, TX 78723-5702
(512) 457-0575
Mailing address
3110 MANOR RD, SUITE F, AUSTIN, TX 78723-5702
(512) 457-0575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M11673
TX
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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