Individual
JESSICA TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3701 QUICK HILL RD APT 14207, AUSTIN, TX 78728-1300
(512) 426-2774
Mailing address
3701 QUICK HILL RD APT 14207, AUSTIN, TX 78728-1300
(512) 426-2774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT129291
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
07/03/2021
Last updated
07/03/2021
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