Lydia Green, MT

NPI #1659154839 in Holly Lake Ranch, Texas

Provider Information

NPI Number: 1659154839
Entity Type: Individual
Name: Lydia Green, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 2250 S FM 2869 STE 5
City: Holly Lake Ranch
State: Texas
ZIP Code: 75765-4974
Phone: (903) 569-4286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

Provider Name	Specialty	City
Green Family Massage LLC	Massage Therapist	Holly Lake Ranch	AI Deep Dive

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