Individual
JIRAPORN HEEPKAEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 RIDGE RD STE 107, ROCKWALL, TX 75087-4301
(469) 367-7779
Mailing address
2619 COYOTE XING, ROCKWALL, TX 75087-0298
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134783
TX
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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