Individual
BRITTANI TILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3314 W KIEST BLVD, DALLAS, TX 75233-2102
(214) 623-0505
Mailing address
7905 MARVIN D LOVE FWY APT 621, DALLAS, TX 75237-3476
(469) 585-6557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT118707
TX
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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