Organization
TYLER MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNA MOODY (OWNER)
(903) 520-8611
Entity
Organization
Contact information
Practice address
704 S BOIS D ARC AVE, TYLER, TX 75701-1503
(903) 520-8611
Mailing address
704 S BOIS D ARC AVE, TYLER, TX 75701-1503
(903) 520-8611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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