Individual
PATRICIA KAYE JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
11210 US 290, STE A230, AUSTIN, TX 78631
(512) 362-8865
Mailing address
13062 US 290, STE 100, AUSTIN, TX 78631
(512) 362-8865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5816
TX
225700000X
Massage Therapist
MT132694
TX
Other
Enumeration date
03/23/2021
Last updated
05/19/2021
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