Individual provider · Type 1 NPI

Victoria Ruth Pennock, CMT

Massage Therapist · Austin, TX

NPI number 1033371208 Active

Practice location

11308 Wet Season Dr
Austin, TX 78754-5855

Call (512) 906-9734 Map

Mailing address

5104 Fort Mason Dr
Austin, TX 78745-2313

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X108294 (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.

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About NPI 1033371208

Victoria Ruth Pennock, CMT's National Provider Identifier is 1033371208, issued on Jun 30, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Austin, TX. The record was last updated on Feb 24, 2016.