Individual
BAILEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9440 STRATTON DR APT 16307, FRISCO, TX 75035-5365
(601) 504-8121
Mailing address
9440 STRATTON DR APT 16307, FRISCO, TX 75035-5365
(601) 504-8121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
124122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124122
LMT - LICENSED MASSAGE THERAPIST
TX
Enumeration date
12/29/2021
Last updated
12/29/2021
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