Individual provider · NPI-1

Teresa Lacey

Massage Therapist · Denton, TX

NPI number1508673187
StatusActive
Last updated in NPPESDec 17, 2024

Details

NPI
1508673187
Entity type
Individual (NPI-1)
Name
Teresa Lacey
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 17, 2024
Certification date
Dec 16, 2024
Last updated
Dec 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT132723TXYes

Practice location

2412 Old North Rd Ste 100b
Denton, TX 76209-1524

Phone 817-343-6213

Mailing address

1925 Park Place Blvd Apt 707
Bedford, TX 76021-5850

Phone 817-343-6213

Other practice locations

2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010

Phone 817-343-6213

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