Individual
NANCY G RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13740 N HIGHWAY 183, SUITE U-1, AUSTIN, TX 78750-1884
(512) 335-5426
Mailing address
13740 N HIGHWAY 183, SUITE U-1, AUSTIN, TX 78750-1884
(512) 335-5426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01-4573
TX
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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