Samuel Perez Jr.
Massage Therapist in Von Ormy, TX. Individual provider (NPI-1).
NPI number1447921804
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1447921804
- Entity type
- Individual (NPI-1)
- Name
- Samuel Perez Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2021
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 135607 | TX | Yes |
Practice location
13874 Benton City RdVon Ormy, TX 78073-3432
Phone 210-464-0223
Mailing address
13874 Benton City RdVon Ormy, TX 78073-3432
Phone 210-464-0223
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