Individual provider · Type 1 NPI

Domanique Ingram

Massage Therapist · Longview, TX

NPI number 1205429180 Active

Practice location

501 N Spur 63 Ste C1
Longview, TX 75601-5010

Call (903) 746-6019 Map

Mailing address

1203 W River Oaks Dr
Longview, TX 75604-5844

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT123998 (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 1205429180

Domanique Ingram's National Provider Identifier is 1205429180, issued on Feb 11, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, TX. The record was last updated on Feb 11, 2021.