Individual provider · Type 1 NPI

Kylie Ellison, LMT

Massage Therapist · Tyler, TX

NPI number 1922415207 Active

Practice location

2140 W Grande Blvd, Suite A
Tyler, TX 75703-0563

Call (903) 521-1358 Map

Mailing address

5353 Keller Springs Rd, 1522
Dallas, TX 75248-2778

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT110273 (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 1922415207

Kylie Ellison, LMT's National Provider Identifier is 1922415207, issued on Jul 17, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tyler, TX. The record was last updated on Jul 17, 2014.