Individual provider · Type 1 NPI

Timothy Shane Duke, LMT

Massage Therapist · Austin, TX

NPI number 1922614064 Active

Practice location

2900 S Congress Ave Ste 104
Austin, TX 78704-6421

Mailing address

9404 San Diego Rd
Austin, TX 78737-3034

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT014995 (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 1922614064

Timothy Shane Duke, LMT's National Provider Identifier is 1922614064, issued on Sep 22, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Austin, TX. The record was last updated on Sep 22, 2020.