Individual
KERRI ANN FISHENCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
311 N BALLARD AVE STE 102, WYLIE, TX 75098-4486
(214) 985-2256
Mailing address
311 N BALLARD AVE STE 102, WYLIE, TX 75098-4486
(214) 985-2256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT044382
TX
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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