Individual
KELLI LIN EAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
604 FAIRWAY VIEW DR, BURLESON, TX 76028-6382
(817) 999-9474
Mailing address
604 FAIRWAY VIEW DR, BURLESON, TX 76028-6382
(817) 484-2318
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MT011151
TX
173C00000X
Reflexologist
Primary
MT011151
TX
Other
Enumeration date
01/28/2009
Last updated
03/05/2009
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