Quintessential Creations

NPI 1114171543 - Massage Therapist - 225700000X

NPI Details
NPI 1114171543
Enumeration Date 11/12/2008
Last Updated 11/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAMES LEROY JAMES
Position MASSAGE THERAPIST
Phone (817) 295-7444
Fax
Practice Location
111 S WILSON ST
BURLESON TX, 76028-4239, US
Phone (817) 295-7444
Fax
Business Location
109 E WALNUT ST
KEENE TX, 76059-2329, US
Phone (817) 645-6590
Fax (817) 231-0333
Toxanomy
Taxonomy Code 225700000X
License State Texas
License Number MT105553
Remove 1114171543 NPI Number
 

According to our database, Quintessential Creations NPI is 1114171543, taxonomy code is 225700000X and license number is MT105553, license state is located at Texas. Quintessential Creations physically located at 111 S Wilson St, Burleson TX, 76028-4239. NPI Number 1033115704 has the healthcare provider type.

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1114171543 NPI number is provided on an as is basis without warranty of any kind. 1114171543 is maintained by the National Plan & Provider Enumeration System. The contents of Quintessential Creations are for informational purposes only.