NPI 1033371208

Victoria Ruth Pennock, CMT

Practitioner Massage Therapist Austin, TX

Practice location

Address: 11308 Wet Season Dr, Austin, TX 78754-5855
Phone: (512) 906-9734
Mailing address: 5104 Fort Mason Dr, Austin, TX 78745-2313

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 108294 (TX)

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Registry record

NPI: 1033371208
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2008
Record last updated: 24 Feb 2016

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.