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Larry Wayne Robertson, LICENSEDMASSAGE
Massage Therapist in Longview, Texas
NPI 1720868581

Larry Wayne Robertson is a Massage Therapist based in Longview, TX. Larry Wayne Robertson practices in Longview, TX and has the professional credentials of LICENSEDMASSAGE. The NPI Number for Larry Wayne Robertson is 1720868581 and holds a License No. MT037344 (Texas).

The current practice location address for Larry Wayne Robertson is 116 E South St, Longview, TX and can be reached out via phone at 903-230-1911.

Location: 116 E South St, Longview, TX, 75601-7437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720868581
Provider Name
Larry Wayne Robertson
Credential
LICENSEDMASSAGE
Provider Entity Type
Individual
Gender
Male
Address
116 E South St, Longview, TX, 75601-7437
Phone Number
903-230-1911
Fax Number
Provider Enumeration Date
09/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
116 E South St
City
Longview
State
Texas
Zip
75601-7437
Phone Number
903-230-1911
Fax Number
person
Provider Business Mailing Address Details
Address
116 E South St
City
Longview
State
Texas
Zip
75601-7437
Phone Number
903-230-1911
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT037344 (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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