Most Relevant Information
Provider Data
| NPI Number: | 1003272303 |
| Provider Name: | ANGELA BUCHANAN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT020074 |
Most Important Dates
| Enumeration Date: | 01/04/2016 |
| Last Updated: | 01/04/2016 |
Provider Practice Location
1135 POTTER AVE
ROCKWALL
TX
750872419
Practice Location Phone/Fax
| Phone: | 9729658913 |
| Fax: |
Provider Mailing Location
1135 POTTER AVE
ROCKWALL
TX
750872419
Provider Mailing Phone/Fax
| Phone: | 9729658913 |
| Fax: |