Shaoyu Wan
Shaoyu Wan is a Massage Therapist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
1504 Smilax AveFort Worth, TX 76111-1428
Phone: (682) 429-3480
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MT124699 (TX) |
|---|
Record details
| NPI number | 1821685728 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 25, 2020 |
| Last updated in NPPES | December 25, 2020 |
| Certification date | December 25, 2020 |
| Mailing address | 1504 Smilax Ave, Fort Worth, TX 76111-1428 |
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