Individual
KENNETH PIERCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13610 MIDWAY RD STE 248, DALLAS, TX 75244-4330
(214) 906-2626
Mailing address
13610 MIDWAY RD STE 248, DALLAS, TX 75244-4330
(214) 906-2626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149062626
PHONE
TX
Enumeration date
09/26/2022
Last updated
09/26/2022
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