MR. Benny Ray Gustafson, R.M.T.

NPI #1558402164 in Woodway, Texas

Provider Information

NPI Number
1558402164
Entity Type
Individual
Name
MR. Benny Ray Gustafson, R.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
R.M.T.
Enumeration Date
Feb 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
123 TOPEKA DR
Address 2
SUITE H
State
Texas
ZIP Code
76712-6168
Phone
(254) 723-1811

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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