Marion B Bourgeois, LMT

NPI #1720852460 in League City, Texas

Provider Information

NPI Number: 1720852460
Entity Type: Individual
Name: Marion B Bourgeois, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 13, 2023
Last Updated: Nov 13, 2023

Practice Location

Address: 1015 E MAIN ST STE B
City: League City
State: Texas
ZIP Code: 77573-3235
Phone: (346) 603-0342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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