Most Relevant Information
Provider Data
| NPI Number: | 1003507831 |
| Provider Name: | REUBEN CORDERO |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT123617 |
Most Important Dates
| Enumeration Date: | 05/15/2023 |
| Last Updated: | 05/15/2023 |
Provider Practice Location
6201 SUNSET DR STE 121
FORT WORTH
TX
761165535
Practice Location Phone/Fax
| Phone: | 6825569487 |
| Fax: |
Provider Mailing Location
4821 LOVELL AVE
FT WORTH
TX
761075326
Provider Mailing Phone/Fax
| Phone: | 6825569487 |
| Fax: |