Doctor Name: | TERESA LEE |
NPI Number: | 1598086860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT/MI |
License Number: | MT037318/MI2169 |
Business Practice Address: | 7254 Blanco Rd Suite 206 - Neuromuscular Fitness San Antonio, TX - 782164990 |
Business Phone Number: | 2107815806 |
Business Fax Number: | 8666792853 |
Mailing Address: | 11844 Bandera Rd, Suite 269 HELOTES |
State: | TX |
Postal Code: | 780234132 |
Phone Number: | 2107815806 |
Fax Number: | 8666792853 |
NPI Enumeration Date: | 06/21/2010 |
NPI Last Update Date: | 11/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT037318/MI2169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |