Individual provider · NPI-1

Shelley Lynn Dale

Massage Therapist · Denton, TX

NPI number1477083327
StatusActive
Last updated in NPPESJun 14, 2017

Details

NPI
1477083327
Entity type
Individual (NPI-1)
Name
Shelley Lynn Dale
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 14, 2017
Last updated
Jun 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT122627TXYes

Practice location

525 S. Carroll Blvd Ste 202
Denton, TX 76201-7620

Phone 972-251-3945 · Fax 972-251-3945

Mailing address

525 S Carroll Blvd Ste 202
Denton, TX 76201-7416

Phone 972-251-3945

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