Individual
MR. RICKY CHARLES MERRIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
12700 HILLCREST RD, STE 125 #143, DALLAS, TX 75230-2009
(469) 307-1729
Mailing address
12700 HILLCREST RD, STE 125 #143, DALLAS, TX 75230-2009
(469) 307-1729
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
110566
TX
Other
Enumeration date
09/29/2018
Last updated
09/29/2018
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