Individual
MS. RAEVYN N REICHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
208 N FREDONIA ST, LONGVIEW, TX 75601-7209
(903) 230-1911
(903) 230-1900
Mailing address
614 E MAIN ST, ORE CITY, TX 75683-2515
(903) 720-1571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127156
TX
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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