Kevin Ulrich, LVN, LMT
Massage Therapist in Austin, TX. Individual provider (NPI-1).
NPI number1275123713
StatusActive
Last updated in NPPESJan 19, 2021
Details
- NPI
- 1275123713
- Entity type
- Individual (NPI-1)
- Name
- Kevin Ulrich
- Credential
- LVN, LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2021
- Certification date
- Jan 19, 2021
- Last updated
- Jan 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT127184 | TX | Yes |
Practice location
1202 Newning Ave Apt 310Austin, TX 78704-1857
Phone 512-820-0310
Mailing address
Po Box 90683Austin, TX 78709-0683
Phone 512-820-0310
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