Individual provider · Type 1 NPI
Jennifer Cecilia Southwell, LMT
Massage Therapist · Lewisville, TX
NPI number
1649937566
Active
Practice location
1720 S Edmonds Ln Ste 107
Lewisville, TX 75067-5805
Mailing address
995 Downey Dr
Lewisville, TX 75067-7436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT048441 (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 1649937566
Jennifer Cecilia Southwell, LMT's National Provider Identifier is 1649937566, issued on Nov 27, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewisville, TX. The record was last updated on Nov 27, 2021.