Individual
ANDREA MYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 RIVERCREST BLVD, ALLEN, TX 75002-2014
(214) 836-5910
Mailing address
926 RIVERCREST BLVD, ALLEN, TX 75002-2014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
132845
TX
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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