Individual
MRS. JESSICA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT121981
Contact information
Practice address
6010 BALCONES DR STE 260, AUSTIN, TX 78731-4294
(512) 903-5256
Mailing address
6010 BALCONES DR STE 260, AUSTIN, TX 78731-4294
(512) 903-5256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1211981
TX
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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