The Great Escape

NPI #1174701353 in Gainesville, Texas

Provider Information

NPI Number
1174701353
Entity Type
Organization
Organization Name
The Great Escape
Subpart
Yes (part of a larger organization)
Parent Organization
THERAPEUTIC MASSAGE
Primary Specialty
Preferred Provider Organization
Enumeration Date
Feb 10, 2008
Last Updated
Feb 10, 2008

Practice Location

Address
1500 E HIGHWAY 82
Address 2
SUITE -26
State
Texas
ZIP Code
76240-2831
Phone
(940) 736-3156

Authorized Official

Name
MRS. MARY LEE WATSON, MLT
Title
LICENSED MASSAGE THERAPIST
Phone
(940) 736-3156

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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