Individual
GEOFFREY LARAY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1004 HOBBS HWY STE 2, SEMINOLE, TX 79360-3310
(505) 330-2707
Mailing address
904 SW AVENUE H, SEMINOLE, TX 79360-5224
(505) 330-2707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
132695
TX
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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