Organization
THE MUSCLE THERAPY CLINIC
Active
Other names
Mirtha Patricia Lightsey
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD MALCOLM LIGHTSEY (OFFICE MANAGER)
(972) 769-0945
Entity
Organization
Contact information
Practice address
2220 COIT RD STE 510, PLANO, TX 75075-3783
(972) 769-0945
(972) 398-3299
Mailing address
2220 COIT RD STE 510, PLANO, TX 75075-3783
(972) 769-0945
(972) 398-3299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7902
TX
172M00000X
Mechanotherapist
Primary
MT025368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073504387
NPI
TX
01
—
1821015736
NPI
TX
Enumeration date
04/28/2008
Last updated
04/28/2008
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