Individual
JILL DENISE SCOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8100 ROUGHRIDER DR STE 104, WINDCREST, TX 78239-2455
(210) 870-9011
Mailing address
10915 CIMARRON CV, UNIVERSAL CITY, TX 78148-3788
(210) 870-9011
(210) 899-1619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
044020
TX
225700000X
Massage Therapist
Primary
044020
TX
Other
Enumeration date
02/24/2010
Last updated
01/17/2024
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