Individual
MR. TIMOTHY WILLIS HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
101 W MCDERMOTT DR # 107, ALLEN, TX 75013-2751
(214) 552-4949
Mailing address
1325 HEIDI DR, PLANO, TX 75025-2808
(977) 527-5278
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT030213
TX
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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