Individual
CARLA FAWN THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3320 ATWOOD CREEK CT, SPRING, TX 77386-4944
(337) 654-2790
Mailing address
3320 ATWOOD CREEK CT, SPRING, TX 77386-4944
(337) 654-2790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127408
TX
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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