Individual
MARK KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7704 NORTHCREST BLVD # B, AUSTIN, TX 78752-1416
(503) 332-8710
Mailing address
7704 NORTHCREST BLVD # B, AUSTIN, TX 78752-1416
(503) 332-8710
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
117988
TX
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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