Pamela Jeanette Fraser
Massage Therapist in Austin, TX. Individual provider (NPI-1).
NPI number1417469685
StatusActive
Last updated in NPPESOct 27, 2017
Details
- NPI
- 1417469685
- Entity type
- Individual (NPI-1)
- Name
- Pamela Jeanette Fraser
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2017
- Last updated
- Oct 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT119246 | TX | Yes |
Practice location
14028 N Hwy 183 Ste D120Austin, TX 78717-5992
Phone 512-250-8800 · Fax 512-250-8800
Mailing address
106 Louise StElgin, TX 78621-1208
Phone 406-599-9190
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