Individual provider · Type 1 NPI
Michelle Tullous, L.M.T
Massage Therapist · Austin, TX
NPI number
1609277169
Active
Practice location
2525 W Anderson Ln, Suite SP5
Austin, TX 78757-1180
Mailing address
1900 Scofield Ridge Pkwy, Apt 803
Austin, TX 78727-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT110228 (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 1609277169
Michelle Tullous, L.M.T's National Provider Identifier is 1609277169, issued on Sep 15, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Austin, TX. The record was last updated on Sep 15, 2014.