Individual
THERESE A ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, RMT
Contact information
Practice address
712 N. TEXAS AVE, ODESSA, TX 79761
(432) 337-2299
Mailing address
712 N. TEXAS AVE, ODESSA, TX 79761
(432) 337-2299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT016979
TX
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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