Individual
MR. NATHANIEL EVERETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
165 PALISADES DR APT 407, UNIVERSAL CITY, TX 78148-3156
(210) 995-0102
Mailing address
165 PALISADES DR APT 407, UNIVERSAL CITY, TX 78148-3156
(210) 995-0102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT142007
TX
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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