Individual
DYANN RENEE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8915 REAMER ST, HOUSTON, TX 77074-2519
(346) 270-0551
Mailing address
8915 REAMER ST, HOUSTON, TX 77074-2519
(346) 270-0551
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT118930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT118930
TDLR
TX
Enumeration date
04/06/2021
Last updated
06/03/2021
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