Individual provider · Type 1 NPI
Marco Gonzalez, LMT
Massage Therapist · Addison, TX
NPI number
1740800861
Active
Practice location
15790 Dooley Rd Ste 200
Addison, TX 75001-5722
Mailing address
12508 Fair Ln
Frisco, TX 75036-3728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT133361 (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.
Another provider at this address
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About NPI 1740800861
Marco Gonzalez, LMT's National Provider Identifier is 1740800861, issued on Apr 18, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Addison, TX. The record was last updated on Apr 18, 2020.