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Mistyanne Green
Massage Therapist in Fort Worth, Texas
NPI 1699389361

Mistyanne Green is a Massage Therapist based in Hurst, TX. Mistyanne Green practices in Fort Worth, TX. The NPI Number for Mistyanne Green is 1699389361 and holds a License No. MT133835 (Texas).

The current practice location address for Mistyanne Green is 1606 N Sylvania Ave, Fort Worth, TX and can be reached out via phone at 972-567-0718.

Location: 1606 N Sylvania Ave, Fort Worth, TX, 76053-6129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699389361
Provider Name
Mistyanne Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
1606 N Sylvania Ave, Fort Worth, TX, 76053-6129
Phone Number
972-567-0718
Fax Number
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1606 N Sylvania Ave
City
Fort Worth
State
Texas
Zip
76111-2733
Phone Number
972-567-0718
Fax Number
person
Provider Business Mailing Address Details
Address
1606 N Sylvania Ave
City
Fort Worth
State
Texas
Zip
76111-2733
Phone Number
972-567-0718
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT133835 (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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