Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT108340 | TX |
NPI | 1003569294 |
---|---|
Provider Name | Allison Nicole Harris |
First Address | Plano, TX 75024-0336 |
Second Address | Plano, TX 75024-0336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2022 |
Last Update Date | 28/01/2022 |