Individual
RUTH ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 E CESAR CHAVEZ ST STE G140, AUSTIN, TX 78701-4289
(512) 654-4137
Mailing address
200 E CESAR CHAVEZ ST STE G140, AUSTIN, TX 78701-4289
(512) 654-4137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT119680
TX
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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