Individual
LORI EDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPY
Contact information
Practice address
9350 STATE HIGHWAY 7 E, JOAQUIN, TX 75954-4083
(903) 754-7363
Mailing address
9350 STATE HIGHWAY 7 E, JOAQUIN, TX 75954-4083
(903) 754-7363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109626
TX
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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