Individual
JUDITH POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10919 CULEBRA RD STE 112, ROOM 5, SAN ANTONIO, TX 78253
(210) 428-5228
Mailing address
10231 VILLA DEL LAGO, SAN ANTONIO, TX 78245-1671
(210) 254-6181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
115436
TX
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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