Individual
KEANA STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1000 E BELT LINE RD STE 200, CARROLLTON, TX 75006-6286
(256) 800-3277
Mailing address
275 E VISTA RIDGE MALL DR APT 7414, LEWISVILLE, TX 75067-4035
(256) 777-0446
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT144906
TX
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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