Marquis Mangrum

NPI #1295427979 in Hewitt, Texas

Provider Information

NPI Number: 1295427979
Entity Type: Individual
Name: Marquis Mangrum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 22, 2023
Last Updated: May 22, 2023

Practice Location

Address: 1217 S HEWITT DR
City: Hewitt
State: Texas
ZIP Code: 76643-3200
Phone: (254) 723-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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