NPI 1124611074

Sharon Katie Long, LMT

Practitioner Massage Therapist Wichita Falls, TX

Practice location

Address: 4722 Kemp Blvd STE 120, Wichita Falls, TX 76308-5279
Phone: (719) 505-2463
Mailing address: 906 S College Ave, Holliday, TX 76366-3859

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT127786 (TX)

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Registry record

NPI: 1124611074
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2021
Record last updated: 11 Feb 2021

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.