Individual
THERESA MARIE FENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5818 BEVERLYHILL ST, SUITE 100, HOUSTON, TX 77057-6710
(713) 435-0070
Mailing address
7911 FAWN TERRACE DR, HOUSTON, TX 77071-2720
(713) 435-0070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT031281
TX
225700000X
Massage Therapist
Primary
MT031281
TX
Other
Enumeration date
06/11/2009
Last updated
12/02/2010
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