NPI 1003507831

Reuben Cordero

Practitioner Massage Therapist Fort Worth, TX

Practice location

Address: 6201 Sunset Dr STE 121, Fort Worth, TX 76116-5535
Phone: (682) 556-9487
Mailing address: 4821 Lovell Ave, Ft Worth, TX 76107-5326

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT123617 (TX)

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Registry record

NPI: 1003507831
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2023
Record last updated: 15 May 2023

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.