Individual
NATHAN BARBOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7035 GREENVILLE AVE STE 101, DALLAS, TX 75231-5109
(972) 295-0155
Mailing address
831 PHILADELPHIA ST, FATE, TX 75189-4062
(214) 663-6681
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225400000X
Rehabilitation Practitioner
—
—
225700000X
Massage Therapist
Primary
134304
TX
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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