Individual
KRYSTAL O'DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 S LAMAR ST APT 834, DALLAS, TX 75215-6848
(972) 971-2869
Mailing address
1409 S LAMAR ST APT 834, DALLAS, TX 75215-6848
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
124067
TX
173C00000X
Reflexologist
124067
TX
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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