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Individual

BILLY BRYSON KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2730 COUNTRY CLUB RD, LUCAS, TX 75002-8780
(214) 454-7377
Mailing address
2730 COUNTRY CLUB RD, LUCAS, TX 75002-8780
(214) 454-7377

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
035832
TX

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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