Individual
BETH MARIE HOUSEHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
250 E DEBBIE LN, MANSFIELD, TX 76063-9240
(972) 825-1494
Mailing address
250 E DEBBIE LN, MANSFIELD, TX 76063-9240
(972) 825-1494
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT108730
TX
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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