Individual
ALICE LOUISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP, AMMP
Contact information
Practice address
1201 S ABE ST, SAN ANGELO, TX 76903-7243
(325) 374-7735
(325) 657-8484
Mailing address
PO BOX 5516, SAN ANGELO, TX 76902-5516
(325) 374-7735
(325) 657-8484
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109788
TX
Other
Enumeration date
02/04/2014
Last updated
03/03/2015
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