Individual
RUTH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W PIPELINE RD # 9, HURST, TX 76053-5743
(682) 241-0185
Mailing address
5740 BOWLING DR, WATAUGA, TX 76148-3422
(682) 241-0185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT114648
TX
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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