Individual provider · Type 1 NPI

Erica Suzanne Ingram, LMT

Massage Therapist · Tyler, TX

NPI number 1447757984 Active

Practice location

4055 Hogan Dr
Tyler, TX 75709-6930

Mailing address

1909 Shiloh Rd Apt 1
Tyler, TX 75703-2628

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT125649 (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 1447757984

Erica Suzanne Ingram, LMT's National Provider Identifier is 1447757984, issued on Apr 11, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tyler, TX. The record was last updated on Apr 11, 2018.