Individual
JODY MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4514 LARKSPUR ST, HOUSTON, TX 77051-2826
(125) 459-5600
Mailing address
4514 LARKSPUR ST, HOUSTON, TX 77051-2826
(254) 595-6002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026357
TX
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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