Individual provider · Type 1 NPI
Lou Ellen Demott, L.M.T.
Massage Therapist · Burleson, TX
NPI number
1013221928
Active
Practice location
136 W Bufford St
Burleson, TX 76028-4227
Fax (817) 426-0149
Mailing address
600 Pheasant Run
Burleson, TX 76028-6120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT106959 (TX) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Another provider at this address
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About NPI 1013221928
Lou Ellen Demott, L.M.T.'s National Provider Identifier is 1013221928, issued on Aug 3, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burleson, TX. The record was last updated on Aug 3, 2010.