Individual
KELLY BALCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
1100 COTTONWOOD CREEK #110, SUITE 128, HIGHLAND VILLAGE, TX 75077-7507
(823) 749-1746
Mailing address
1100 COTTONWOOD CREEK #110, SUITE 128, HIGHLAND VILLAGE, TX 75077-7638
(682) 374-9174
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT130512
TX
Other
Enumeration date
05/12/2020
Last updated
04/30/2023
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