Individual
MIRANDA MARIE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T, M.M.P
Contact information
Practice address
1310 NW JOHN JONES DR, BURLESON, TX 76028-8040
(817) 807-3505
Mailing address
1310 NW JOHN JONES DR, BURLESON, TX 76028-8040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
130694
TX
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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