Individual
KELLIE JAYMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
151 US HIGHWAY 69 N STE 800, BULLARD, TX 75757-5184
(903) 894-4404
Mailing address
307 INWOOD DR, BULLARD, TX 75757-5415
(903) 574-9849
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109106
TX
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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