Individual
TEENA WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MTI, CEPROVIDER
Contact information
Practice address
1104 S MAYS ST STE 107, ROUND ROCK, TX 78664-6700
(512) 560-1187
Mailing address
3101 MEADOW LN, TAYLOR, TX 76574-5321
(512) 560-1187
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT027206
TX
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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