Individual
TYANA WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 PORT NECHES DR, LITTLE ELM, TX 75068-5935
(573) 855-6292
Mailing address
1018 PORT NECHES DR, LITTLE ELM, TX 75068-5935
(157) 385-5629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT133656
TX
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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