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Miss Cathy Yvonne Wynn, MT019073
Massage Therapist in Longview, Texas
NPI 1235373416

Cathy Yvonne Wynn is a Massage Therapist based in White Oak, TX. Cathy Yvonne Wynn practices in Longview, TX and has the professional credentials of MT019073. The NPI Number for Cathy Yvonne Wynn is 1235373416 and holds a License No. MT019073 (Texas).

The current practice location address for Cathy Yvonne Wynn is 1109 Evergreen St, Longview, TX and can be reached out via phone at 903-736-2969.

Location: 1109 Evergreen St, Longview, TX, 75693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235373416
Provider Name
Cathy Yvonne Wynn
Credential
MT019073
Provider Entity Type
Individual
Gender
Female
Address
1109 Evergreen St, Longview, TX, 75693
Phone Number
903-736-2969
Fax Number
Provider Enumeration Date
05/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT019073 01 TX MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
1109 Evergreen St
City
Longview
State
Texas
Zip
75604-2130
Phone Number
903-736-2969
Fax Number
person
Provider Business Mailing Address Details
Address
1109 Evergreen St
City
Longview
State
Texas
Zip
75604-2130
Phone Number
903-736-2969
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT019073 (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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