Individual
MR. JAMIE KIM CAROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2708 DEL CURTO RD, AUSTIN, TX 78704-4826
(512) 442-6268
Mailing address
2708 DEL CURTO RD, AUSTIN, TX 78704-4826
(512) 442-6268
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004671
TX
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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