Individual
JADE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1807 N GRAVES ST, MCKINNEY, TX 75069-3423
(214) 428-5752
Mailing address
15905 BENT TREE FOREST CIR APT 1062, DALLAS, TX 75248-7052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT129868
TDLR
TX
Enumeration date
08/11/2022
Last updated
08/11/2022
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