Individual
KANTANA NMN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 N OAK ST, ROANOKE, TX 76262-6104
(888) 467-1772
Mailing address
501 N OAK ST, ROANOKE, TX 76262-6104
(888) 467-1772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT147703
TX
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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