Individual provider · Type 1 NPI
Lydia Green, MT
Massage Therapist · Holly Lake Ranch, TX
NPI number
1659154839
Active
Practice location
2250 S FM 2869 Ste 5
Holly Lake Ranch, TX 75765-4974
Mailing address
621 N FM 312
Winnsboro, TX 75494-7628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT134768 (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.
3 other providers at this address
About NPI 1659154839
Lydia Green, MT's National Provider Identifier is 1659154839, issued on Aug 14, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Holly Lake Ranch, TX. The record was last updated on Aug 14, 2023.