Individual
SHERITA NICOLE BAGBY MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1830 SNAKE RIVER RD, SUITE B, KATY, TX 77449-1843
(832) 848-1800
Mailing address
1111 HOUGHTON RD, #1711, KATY, TX 77450-3070
(832) 848-1800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT111427
TX
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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