Individual
ELIZABETH MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T., M.M.T.,MAT
Contact information
Practice address
1709 CUSHING ST # 206, HOUSTON, TX 77019-5504
(512) 658-3295
Mailing address
PO BOX 7546, ROUND ROCK, TX 78683-7546
(512) 658-3295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT# TX031189
TX
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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