Individual
RYAN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT128655
Contact information
Practice address
5100 NW LOOP 410 APT 4005, SAN ANTONIO, TX 78229-5325
(281) 943-4620
Mailing address
5100 NW LOOP 410 APT 4005, SAN ANTONIO, TX 78229-5325
(281) 943-4620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT128655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT128655
TEXAS DEPARTMENT OF REGISTRATION
TX
Enumeration date
12/01/2020
Last updated
12/01/2020
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