Individual
MS. MARIE ELENA BUMPASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4319 MEDICAL DR, STE 210A, SAN ANTONIO, TX 78229-3381
(210) 615-0270
(210) 615-0278
Mailing address
7106 NORTHERN LIGHTS ST, LOT 109-12, SAN ANTONIO, TX 78238-1221
(210) 680-8285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT007570
MASSAGE THERAPIST
TX
Enumeration date
05/16/2007
Last updated
07/08/2007
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