Organization
DTS FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASWANDRA GRAYDON (OWNER)
(469) 774-9496
Entity
Organization
Contact information
Practice address
2515 E ROSEMEADE PKWY STE 400, CARROLLTON, TX 75007-2036
(469) 758-6859
Mailing address
2515 E ROSEMEADE PKWY STE 400, CARROLLTON, TX 75007-2036
(469) 758-6859
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
133N00000X
Nutritionist
—
—
2255A2300X
Athletic Trainer
Primary
—
—
225700000X
Massage Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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