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Arelly Vanessa Orta-Gonzales, LMT, MTI

Massage Therapist in Fort Worth, TX. Individual provider (NPI-1).

NPI number1962017517
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1962017517
Entity type
Individual (NPI-1)
Name
Arelly Vanessa Orta-Gonzales
Credential
LMT, MTI
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 10, 2020
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist109705TXYes

Practice location

5501 Jacksboro Hwy Ste 402
Fort Worth, TX 76114-1600

Phone 817-226-6551

Mailing address

5501 Jacksboro Hwy Ste 402
Fort Worth, TX 76114-1600

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