Individual
TRAVINA LAWANDA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2938 CARRIZO SPRINGS CT, KATY, TX 77449-6231
(313) 828-4890
Mailing address
2938 CARRIZO SPRINGS CT, KATY, TX 77449-6231
(313) 828-4890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT118872
TX
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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