Individual
YVONNE MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
175 MIRON DR STE 140, SOUTHLAKE, TX 76092-7820
(817) 382-8255
Mailing address
1624 QUAILS NEST DR, FORT WORTH, TX 76177-7542
(682) 301-2922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT136591
TX
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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