Individual
STACEY ANN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6500 SUMMERHILL RD, TEXARKANA, TX 75503-1721
(262) 215-9781
Mailing address
6500 SUMMERHILL RD, TEXARKANA, TX 75503-1721
(262) 215-9781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT140188
TX
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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