Provider Demographics
NPI:1184473985
Name:ROSS, SAUNDRA CECELIA (MASSAGE THERAPOST)
Entity type:Individual
Prefix:MS
First Name:SAUNDRA
Middle Name:CECELIA
Last Name:ROSS
Suffix:
Gender:F
Credentials:MASSAGE THERAPOST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 BARNHILL LN
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-4469
Mailing Address - Country:US
Mailing Address - Phone:305-906-1886
Mailing Address - Fax:
Practice Address - Street 1:1909 BARNHILL LN
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-4469
Practice Address - Country:US
Practice Address - Phone:305-906-1886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT130061225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist