NPI 1003144916

Wanda Nerene Holder, LICENSEMASSAGETHER

Practitioner Massage Therapist Corsicana, TX

Practice location

Address: 322 W 7th Ave Suite C, Corsicana, TX 75110-6402
Phone: (903) 872-2756
Mailing address: 2005 W Collin St, Corsicana, TX 75110-4242

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT010527 (TX)

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Registry record

NPI: 1003144916
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2009
Record last updated: 17 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.