Individual
MS. CASEY DANIELLE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1709 RIO GRANDE ST, AUSTIN, TX 78701-1123
(816) 560-8697
Mailing address
201 LAVACA ST, APT 744, AUSTIN, TX 78701-3960
(816) 560-8697
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01316
TX
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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