Individual
MICHAEL OWEN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 TEAKWOOD LN, SAN ANTONIO, TX 78216-6823
(210) 885-5945
Mailing address
147 TEAKWOOD LN, SAN ANTONIO, TX 78216-6823
(210) 885-5945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT127187
TX
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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