Individual
CAROL LYNNE WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1020 ALTMAN, KINGSLAND, TX 78639
(830) 798-5341
Mailing address
1020 ALTMAN, KINGSLAND, TX 78639
(830) 798-5341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109980
MASSAGE THERAPY
TX
Enumeration date
04/06/2018
Last updated
04/06/2018
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