Individual
NEYSSA LIZ ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT, LMT
Contact information
Practice address
200 N RUFE SNOW DR STE 121, KELLER, TX 76248-4239
(682) 465-1722
Mailing address
9705 GALLATIN LN, FORT WORTH, TX 76177-7331
(682) 465-1722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT107129
TX
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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