Individual provider · Type 1 NPI
Kenneth D. Ballard, LMT
Massage Therapist · Arlington, TX
NPI number
1104121086
Active
Practice location
2518 Plaza St
Arlington, TX 76010-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT105979 (TX) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1104121086
Kenneth D. Ballard, LMT's National Provider Identifier is 1104121086, issued on Jan 24, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Arlington, TX. The record was last updated on Jan 24, 2011.