Individual
BRANTOINETTE HENNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1203 COLLEGE ST APT 105, KILLEEN, TX 76541-3324
(254) 218-4118
Mailing address
PO BOX 691443, KILLEEN, TX 76549-0025
(254) 218-4118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT137747
TX
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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