Yvonne Madison, LMT

NPI #1962186528 in Southlake, Texas

Provider Information

NPI Number: 1962186528
Entity Type: Individual
Name: Yvonne Madison, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 14, 2023
Last Updated: Jun 14, 2023

Practice Location

Address: 175 MIRON DR STE 140
City: Southlake
State: Texas
ZIP Code: 76092-7820
Phone: (817) 382-8255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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