Marie Elena Bumpass, LMT
Massage Therapist in San Antonio, TX. Individual provider (NPI-1).
NPI number1760699466
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760699466
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marie Elena Bumpass
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT007570 | TX | Yes |
Practice location
4319 Medical DrSte 210a
San Antonio, TX 78229-3381
Phone 210-615-0270 · Fax 210-615-0278
Mailing address
7106 Northern Lights StLot 109-12
San Antonio, TX 78238-1221
Phone 210-680-8285
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