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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT048441 (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.