Suzanne Waldrep, LMT, MMP

NPI #1982077822 in Magnolia, Texas

Provider Information

NPI Number: 1982077822
Entity Type: Individual
Name: Suzanne Waldrep, LMT, MMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, MMP
Enumeration Date: Oct 31, 2015
Last Updated: Oct 31, 2015

Practice Location

Address: 33300 EGYPT LN
Address 2: SUITE I-120
City: Magnolia
State: Texas
ZIP Code: 77354-2739
Phone: (832) 914-7368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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