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Perry Lee Lake, LMT/CMT
Massage Therapist in San Angelo, Texas
NPI 1790443398

Perry Lee Lake is a Massage Therapist based in San Angelo, TX. Perry Lee Lake practices in San Angelo, TX and has the professional credentials of LMT/CMT. The NPI Number for Perry Lee Lake is 1790443398 and holds a License No. 6711070-4701 (Texas).

The current practice location address for Perry Lee Lake is 1101 S David St, San Angelo, TX and can be reached out via phone at 208-241-1632. You can also correspond with Perry Lee Lake through the mailing address at 1101 S DAVID ST, SAN ANGELO, TX - 76903-7249 (mailing address contact number: 208-241-1632).

Location: 1101 S David St, San Angelo, TX, 76903-7249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790443398
Provider Name
Perry Lee Lake
Credential
LMT/CMT
Provider Entity Type
Individual
Gender
Male
Address
1101 S David St, San Angelo, TX, 76903-7249
Phone Number
208-241-1632
Fax Number
Provider Enumeration Date
12/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 S David St
City
San Angelo
State
Texas
Zip
76903-7249
Phone Number
208-241-1632
Fax Number
person
Provider Business Mailing Address Details
Address
1101 S David St
City
San Angelo
State
Texas
Zip
76903-7249
Phone Number
208-241-1632
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
6711070-4701 (Utah)
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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