Individual
SHANELLE VARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 DIERS LN, LA GRANGE, TX 78945-2535
(512) 997-5800
Mailing address
314 DIERS LN, LA GRANGE, TX 78945-2535
(512) 997-5800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT139775
TX
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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