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General NPI Number Information
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NPI Number | 1598086860
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Entity Type | Individual
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Provider Name | TERESA LEE LMT/HWC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 7400 BLANCO RD STE 120
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4361
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Country | US
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Telephone | 866-977-5668
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Fax |
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Provider Business Mailing Address
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Address Line | 9327 ANISTON BLF STE 120
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City | CONVERSE
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State | TX
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Zip | 78109-0029
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Country | US
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Telephone | 866-977-5668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MT037318
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3624516
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT037318CE2275
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License Number State | TX
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