Individual
DARCI DIANE BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14028 N HIGHWAY 183 STE 120, AUSTIN, TX 78717-5996
(512) 250-8800
Mailing address
14028 N HIGHWAY 183 STE 120, AUSTIN, TX 78717-5996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT129143
LMT LICENSE
TX
Enumeration date
08/27/2018
Last updated
08/27/2018
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