Individual provider · NPI-1

Calvin D Brock, BS

Massage Therapist · Denton, TX

NPI number1073400073
StatusActive
Last updated in NPPESJun 23, 2025

Details

NPI
1073400073
Entity type
Individual (NPI-1)
Name
Calvin D Brock
Credential
BS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 23, 2025
Certification date
Jun 22, 2025
Last updated
Jun 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist120421TXYes

Practice location

616 Neptune Dr
Denton, TX 76209-8008

Phone 469-418-0621

Mailing address

616 Neptune Dr
Denton, TX 76209-8008

Phone 469-418-0621

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