Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT040700 | TX |
NPI | 1003144213 |
---|---|
Provider Name | Ms. Linda Aurora Lovato |
First Address | Amarillo, TX 79109-6098 |
Second Address | Amarillo, TX 79109-1648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2009 |
Last Update Date | 28/11/2009 |