Individual
KAYLA LINDSEY DESHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
5901 OLD FREDERICKSBURG RD STE A103, AUSTIN, TX 78749-1210
(512) 636-3956
Mailing address
11400 DOMAIN DR APT 5327, AUSTIN, TX 78758-7742
(214) 417-4462
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/16/2017
Last updated
12/16/2017
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