Individual
CAROL LEE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2705 THORNDALE CIR, PLANO, TX 75074-3177
(972) 824-4443
Mailing address
2705 THORNDALE CIR, PLANO, TX 75074-3177
(972) 824-4443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT117596
TX
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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