EDWARD LEWIS ORT-ULM

AUSTIN, TX
NPI1174302426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: TX  137033)
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
EDWARD LEWIS ORT-ULM LMT, SEP
4319 GANYMEDE DR
AUSTIN, TX 78727-5107
Phone number: 480-619-9652
Mailing Address
EDWARD LEWIS ORT-ULM LMT, SEP
4319 GANYMEDE DR
AUSTIN, TX 78727-5107
Phone number: 480-619-9652