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Joe David Secrest IV, LMT
Massage Therapist in Fort Worth, Texas
NPI 1083991780

Joe David Secrest IV is a Massage Therapist based in Fort Worth, TX. Joe David Secrest IV practices in Fort Worth, TX and has the professional credentials of LMT. The NPI Number for Joe David Secrest IV is 1083991780 and holds a License No. MT120063 (Texas).

The current practice location address for Joe David Secrest IV is 5800 Edwards Ranch Rd Ste 200, Fort Worth, TX and can be reached out via phone at 843-345-3271.

Location: 5800 Edwards Ranch Rd Ste 200, Fort Worth, TX, 76109-4126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083991780
Provider Name
Joe David Secrest IV
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
5800 Edwards Ranch Rd Ste 200, Fort Worth, TX, 76109-4126
Phone Number
843-345-3271
Fax Number
Provider Enumeration Date
11/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5800 Edwards Ranch Rd Ste 200
City
Fort Worth
State
Texas
Zip
76109-4126
Phone Number
843-345-3271
Fax Number
person
Provider Business Mailing Address Details
Address
5800 Edwards Ranch Rd Ste 200
City
Fort Worth
State
Texas
Zip
76109-4126
Phone Number
843-345-3271
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT120063 (Texas)
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.
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