Individual
PATRICE I SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
2425 TAYLOR ST APT 11138, DALLAS, TX 75201-5949
(469) 978-6548
(469) 978-6548
Mailing address
TIME2RELAX LLC, 2425 TAYLOR ST #11138, DALLAS, TX 75201-5949
(469) 978-6548
(469) 978-6548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511896-06
BOARD CERTIFIED IN THERAPEUTIC MASSAGE & BODYWORK
—
01
—
MT125071
LICENSED MASSAGE THERAPIST
TX
Enumeration date
02/17/2018
Last updated
02/17/2018
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