Individual
JAELYN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 WAGON TRL, HEARTLAND, TX 75126-8317
(972) 825-1968
Mailing address
2010 WAGON TRL, HEARTLAND, TX 75126-8317
(972) 825-1968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT125783
TX
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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