Individual
MRS. DANITA SHORTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 W RANCIER AVE, SUITE 210, KILLEEN, TX 76541-3200
(254) 423-7543
Mailing address
710 W RANCIER AVE, SUITE 210, KILLEEN, TX 76541-3200
(254) 423-7543
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
ME2475
TX
225700000X
Massage Therapist
MT112821
TX
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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