Individual provider · Type 1 NPI

Olena Sydorenko X, MT

Massage Therapist · Shenandoah, TX

NPI number 1689435133 Active

Practice location

19075 Interstate 45 S Ste 250
Shenandoah, TX 77385-8701

Mailing address

3500 Tangle Brush Dr Apt 98
The Woodlands, TX 77381-2939

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X131981 (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 1689435133

Olena Sydorenko X, MT's National Provider Identifier is 1689435133, issued on Jan 22, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Shenandoah, TX. The record was last updated on Feb 1, 2024.