Individual
JEFF DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2710B LA MESA DR, AUSTIN, TX 78704-5429
(512) 524-3675
Mailing address
2710B LA MESA DR, AUSTIN, TX 78704-5429
(512) 524-3675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129118
TX
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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