Individual
JEREMY PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
5808 EUREKA DR, AUSTIN, TX 78745-2925
(270) 577-0720
Mailing address
5808 EUREKA DR, AUSTIN, TX 78745-2925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT117430
TX
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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