Ida Lewis, LMT

NPI #1942753868 in Wylie, Texas

Provider Information

NPI Number: 1942753868
Entity Type: Individual
Name: Ida Lewis, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 27, 2016
Last Updated: Jul 27, 2016

Practice Location

Address: 1619 SPINNAKER WAY
City: Wylie
State: Texas
ZIP Code: 75098-7985
Phone: (972) 422-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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