Individual
ELISA BETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
27238 RIO PASS, BOERNE, TX 78015-4842
(210) 556-9811
Mailing address
27238 RIO PASS, BOERNE, TX 78015-4842
(210) 556-9811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT124
—
225700000X
Massage Therapist
Primary
MT124056
TX
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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