Individual
JACINDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1240 SOUTHRIDGE CT, SUITE 101, HURST, TX 76053-4306
(817) 823-0218
Mailing address
1209 ELKFORD LN, JUSTIN, TX 76247-5782
(817) 823-0218
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LMT111900
TX
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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