Individual provider · Type 1 NPI
Susan P. Harrelson, LMT, CLT-LANA
Specialist · San Antonio, TX
NPI number
1467793695
Active
Practice location
18626 Hardy Oak Blvd, Suite 210
San Antonio, TX 78258-4210
Fax (210) 249-4911
Mailing address
5047 Sherri Ann Rd
San Antonio, TX 78233-6213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT016082 (TX) |
| Specialist | 174400000X | 000573 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Cleo G. Gonzalez, MASSAGE THERAPISTSpecialist San Antonio, TX NPI 1053768804
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About NPI 1467793695
Susan P. Harrelson, LMT, CLT-LANA's National Provider Identifier is 1467793695, issued on Mar 13, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 23, 2014.