Edgardo Yabir Olivares, MT
Massage Therapist in Austin, TX. Individual provider (NPI-1).
NPI number1164036844
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1164036844
- Entity type
- Individual (NPI-1)
- Name
- Edgardo Yabir Olivares
- Credential
- MT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 112354 | TX | Yes |
Practice location
4700 E Riverside Dr Apt 1418Austin, TX 78741-4767
Phone 832-358-5500
Mailing address
5818 Beverlyhill St Ste 100Houston, TX 77057-6710
Phone 832-358-5500
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