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Mr. Randell Blake Waddell, LMT
Massage Therapist in Frisco, Texas
NPI 1437788320

Randell Blake Waddell is a Massage Therapist based in Frisco, TX. Randell Blake Waddell practices in Frisco, TX and has the professional credentials of LMT. The NPI Number for Randell Blake Waddell is 1437788320 and holds a License No. MT132657 (Texas).

The current practice location address for Randell Blake Waddell is 6793 Massa Ln, Frisco, TX and can be reached out via phone at 806-236-9452.

Location: 6793 Massa Ln, Frisco, TX, 75034-2285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437788320
Provider Name
Randell Blake Waddell
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
6793 Massa Ln, Frisco, TX, 75034-2285
Phone Number
806-236-9452
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6793 Massa Ln
City
Frisco
State
Texas
Zip
75034-2285
Phone Number
806-236-9452
Fax Number
person
Provider Business Mailing Address Details
Address
6793 Massa Ln
City
Frisco
State
Texas
Zip
75034-2285
Phone Number
806-236-9452
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT132657 (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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