Individual provider · Type 1 NPI
Pamela Jeanette Fraser
Massage Therapist · Austin, TX
NPI number
1417469685
Active
Practice location
14028 N Hwy 183 Ste D120
Austin, TX 78717-5992
Fax (512) 250-8800
Mailing address
106 Louise St
Elgin, TX 78621-1208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT119246 (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 1417469685
Pamela Jeanette Fraser's National Provider Identifier is 1417469685, issued on Oct 27, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Austin, TX. The record was last updated on Oct 27, 2017.