Individual
JASON DAVID HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3314 W KIEST BLVD, DALLAS, TX 75233-2102
(214) 623-0505
Mailing address
7600 JOHN Q HAMMONS DR, FRISCO, TX 75034-1916
(972) 803-2397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT044018
TX
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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