Individual
MS. KAYLIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
410 E 3RD AVE, SUDAN, TX 79371-2426
(469) 967-0722
Mailing address
410 E 3RD AVE, SUDAN, TX 79371-2426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT139739
TX
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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