Individual
JEASSALYNNE PURDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, LE
Contact information
Practice address
802 LYDIA ST, AUSTIN, TX 78702-2623
(512) 829-8738
Mailing address
6806 KENOSHA PASS UNIT B, AUSTIN, TX 78749-1802
(325) 262-2988
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
131846
TX
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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