Individual
MS. KATHLEEN ANN BENANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6162 E MOCKINGBIRD LN STE 205, DALLAS, TX 75214-6930
(214) 766-6876
Mailing address
714 MONTE VISTA DR, DALLAS, TX 75223-1244
(214) 766-6876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
043740
TX
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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