Search › Texas › 225700000X
Perry Lake, LMT/CMT
NPI 1790443398 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1101 S David St
San Angelo, TX 76903 - Phone
- (208) 241-1632
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
225700000X - Licence states on file
- UT, ID, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas