Individual
LEAH KARA TRLICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14802 JONES MALTSBERGER RD STE 1101, SAN ANTONIO, TX 78247-3761
(210) 315-3684
Mailing address
3711 FRINGE BREEZE, SAN ANTONIO, TX 78261-2808
(361) 571-5272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT112567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT112567
MASSAGE THERAPY
—
Enumeration date
01/28/2018
Last updated
06/11/2019
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