Individual
JENNIFER DAWN NEWBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MTI
Contact information
Practice address
4945 WILLIAMS DR, GEORGETOWN, TX 78633-2008
(512) 509-2301
Mailing address
4945 WILLIAMS DR, GEORGETOWN, TX 78633-2008
(512) 509-2301
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
132686
TX
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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