NPI 1720418338

Marie C Vervil, MASSAETHERAPIST

Practitioner Reflexologist Southlake, TX

Practice location

Address: 2125 W Southlake Blvd, Southlake, TX 76092-6758
Phone: (817) 903-4749
Mailing address: 821 Jockey Club Ln, Fort Worth, TX 76179-2359

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence MT047765 (TX)

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Registry record

NPI: 1720418338
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2013
Record last updated: 18 Nov 2013

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.