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General NPI Number Information
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NPI Number | 1134538424
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Entity Type | Organization
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Legal Business Name | TRINITY MASSAGE THERAPY, LLC
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 687 CR 3230
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City | HICO
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State | TX
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Zip | 76457
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Country | US
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Telephone | 972-439-4841
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 603
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City | HICO
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State | TX
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Zip | 76457-0603
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Country | US
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Telephone | 972-439-4841
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Fax |
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Authorized Official
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Title or Position | OWNER/ MASSAGE THERAPIST
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Name | RUTH F QUESENBERRY
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Credential | LMT
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Telephone | 972-439-4841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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