Individual provider · Type 1 NPI
Kellie Jaymes, LMT
Massage Therapist · Bullard, TX
NPI number
1356974703
Active
Practice location
151 US Highway 69 N Ste 800
Bullard, TX 75757-5184
Mailing address
307 Inwood Dr
Bullard, TX 75757-5415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT109106 (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.
About NPI 1356974703
Kellie Jaymes, LMT's National Provider Identifier is 1356974703, issued on Feb 13, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bullard, TX. The record was last updated on Feb 13, 2020.