Individual provider · Type 1 NPI

Charles Fred Lang Jr., LMT

Massage Therapist · Bryan, TX

NPI number 1558697219 Active

Practice location

4410 Colony Chase Dr
Bryan, TX 77808-7838

Call (832) 283-3300 Map

Mailing address

PO Box 5519
Bryan, TX 77805-5519

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT005888 (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 1558697219

Charles Fred Lang Jr., LMT's National Provider Identifier is 1558697219, issued on Oct 29, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bryan, TX. The record was last updated on Nov 23, 2009.