Individual
JACOB CHARLES REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3843 DEVON AVE, SAN ANTONIO, TX 78223-4006
(210) 710-7672
Mailing address
3843 DEVON AVE, SAN ANTONIO, TX 78223-4006
(210) 710-7672
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
MT015749
TX
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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