Individual
KENNETH D BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2518 PLAZA ST, ARLINGTON, TX 76010-3217
(817) 323-0959
Mailing address
2518 PLAZA ST, ARLINGTON, TX 76010-3217
(817) 323-0959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT105979
TX
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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