Individual
NYDREA POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
4177 GAZEBO ST APT 6124, AUBREY, TX 76227-4546
(469) 715-7306
Mailing address
4177 GAZEBO ST APT 6124, AUBREY, TX 76227-4546
(469) 715-7306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129114
TX
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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