Individual
JOY HAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3400 BRYANT IRVIN RD, FORT WORTH, TX 76109-4100
(817) 763-2009
Mailing address
4000 PALOMINO DR, BENBROOK, TX 76116-8550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2097189
TX
225700000X
Massage Therapist
MT044376
TX
Other
Enumeration date
02/07/2011
Last updated
03/04/2014
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