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NPI 1578495644

NPI 1578495644 : TREE OF LIFE MASSAGE THERAPY : ABILENE, TX

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General NPI Number Information
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    NPI Number           |    1578495644
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    Entity Type          |    Organization 
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    Legal Business Name  |    TREE OF LIFE MASSAGE THERAPY 
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Dates
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    Enumeration Date     |    06/02/2026
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    Last Update Date     |    06/02/2026
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Provider Practice Location Address
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    Address Line         |    401 PINE ST STE 102 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79601-5158
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    Country              |    US
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    Telephone            |    325-260-6634
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 MONOGAHALEA DR 
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    City                 |    BUFFALO GAP
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    State                |    TX
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    Zip                  |    79508-2149
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    Country              |    US
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    Telephone            |    325-260-6634
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED MASSAGE THERAPIST
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    Name                 |     CARLA  SALAS 
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    Credential           |    LMT
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    Telephone            |    325-260-6634
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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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