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Elizabeth Renee Long, LMT
Massage Therapist in Lago Vista, Texas
NPI 1619546843

Elizabeth Renee Long is a Massage Therapist based in Lago Vista, TX. Elizabeth Renee Long practices in Lago Vista, TX and has the professional credentials of LMT. The NPI Number for Elizabeth Renee Long is 1619546843 and holds a License No. MT134826 (Texas).

The current practice location address for Elizabeth Renee Long is 18404 Lakeland Dr, Lago Vista, TX and can be reached out via phone at 512-639-7505.

Location: 18404 Lakeland Dr, Lago Vista, TX, 78645-8702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619546843
Provider Name
Elizabeth Renee Long
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
18404 Lakeland Dr, Lago Vista, TX, 78645-8702
Phone Number
512-639-7505
Fax Number
Provider Enumeration Date
06/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18404 Lakeland Dr
City
Lago Vista
State
Texas
Zip
78645-8702
Phone Number
512-639-7505
Fax Number
person
Provider Business Mailing Address Details
Address
18404 Lakeland Dr
City
Lago Vista
State
Texas
Zip
78645-8702
Phone Number
512-639-7505
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT134826 (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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