Beth Marie Householder, L.M.T

NPI #1992015051 in Mansfield, Texas

Provider Information

NPI Number: 1992015051
Entity Type: Individual
Name: Beth Marie Householder, L.M.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T
Enumeration Date: Oct 7, 2010
Last Updated: Oct 7, 2010

Practice Location

Address: 250 E DEBBIE LN
City: Mansfield
State: Texas
ZIP Code: 76063-9240
Phone: (972) 825-1494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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