Individual provider · Type 1 NPI
Jacqueline White
Massage Therapist · Lewisville, TX
NPI number
1700556768
Active
Practice location
475 Sh 121 Bypass #200, Suite #22
Lewisville, TX 75067
Mailing address
146 Valley View Dr Apt 112
Lewisville, TX 75067-7795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 135542 (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 1700556768
Jacqueline White's National Provider Identifier is 1700556768, issued on Sep 20, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewisville, TX. The record was last updated on Sep 20, 2021.