Individual
SHYTERIA JIMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
726 LAKE AIR DR, WACO, TX 76710-5743
(254) 447-4126
Mailing address
726 LAKE AIR DR, WACO, TX 76710-5743
(254) 447-4126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
122858
TX
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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