Individual
JAEL WAINRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2100 ROSS AVE, 960, DALLAS, TX 75201-2739
(214) 718-8365
Mailing address
579 W 8TH ST, LANCASTER, TX 75146-1579
(214) 718-8365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00011607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230524
LABOR & INDUSTRIES
WA
Enumeration date
04/11/2008
Last updated
07/20/2009
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