Individual
JILLIAN BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4920 SEAWALL BLVD STE D, GALVESTON, TX 77551-6011
(409) 762-6463
Mailing address
4920 SEAWALL BLVD STE D, GALVESTON, TX 77551-6011
(832) 372-6704
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
MT039654
TX
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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