Georgetown Professional Massage and Wellness LLC

NPI #1851008114 in Georgetown, Texas

Provider Information

NPI Number: 1851008114
Entity Type: Organization
Organization Name: Georgetown Professional Massage and Wellness LLC
Primary Specialty: Massage Therapist
Enumeration Date: Nov 4, 2022
Last Updated: Oct 31, 2023

Practice Location

Address: 4887-1 WILLIAMS DRIVE
Address 2: SUITE 107
City: Georgetown
State: Texas
ZIP Code: 78633
Phone: (512) 639-2769

Authorized Official

Name: DEZIREE SIMMS, LMT
Title: OWNER/LMT
Phone: (512) 639-2769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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