Individual
SHAWN KELLY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 COLLEGE ST STE E1, BASTROP, TX 78602-4021
(512) 650-9641
Mailing address
PO BOX 1234, BASTROP, TX 78602-1234
(512) 650-9641
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT142488
TX
Other
Enumeration date
11/26/2024
Last updated
12/06/2024
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