Individual
MS. CASANYA T MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
208 E MAIN ST STE D, CROWLEY, TX 76036-2665
(682) 231-1511
Mailing address
645 SWIFT CURRENT DR, CROWLEY, TX 76036-6419
(817) 371-2980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT128802
TX
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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