Individual provider · Type 1 NPI
Brenda Wakefield, LMT
Massage Therapist · Irving, TX
NPI number
1609102862
Active
Practice location
665 W Lbj Fwy
Irving, TX 75063-3712
Mailing address
10225 Marchant Ln
Irving, TX 75063-4503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT110561 (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 1609102862
Brenda Wakefield, LMT's National Provider Identifier is 1609102862, issued on Oct 22, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Irving, TX. The record was last updated on Apr 2, 2013.