Organization
ADVANCED MEDICAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LONGWORTH L.M.T. (MASSAGE THERAPIST/OWNER)
(214) 288-1941
Entity
Organization
Contact information
Practice address
4601 OLD SHEPARD PL, BUILDING #4 SUITE 404, PLANO, TX 75093-5279
(214) 288-1941
Mailing address
4601 OLD SHEPARD PL, BUILDING #4 SUITE 404, PLANO, TX 75093-5279
(214) 288-1941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT103513
TX
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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