Individual
JEANNIE RENEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7524 BOSQUE BLVD, SUITE D, WACO, TX 76712-3779
(254) 315-5651
Mailing address
7524 BOSQUE BLVD, SUITE D, WACO, TX 76712-3779
(254) 315-5651
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT114600
TX
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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