Kenneth D Ballard, LMT
Massage Therapist in Arlington, TX. Individual provider (NPI-1).
NPI number1104121086
StatusActive
Last updated in NPPESJan 24, 2011
Details
- NPI
- 1104121086
- Entity type
- Individual (NPI-1)
- Name
- Kenneth D Ballard
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2011
- Last updated
- Jan 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT105979 | TX | Yes |
Practice location
2518 Plaza StArlington, TX 76010-3217
Phone 817-323-0959
Mailing address
2518 Plaza StArlington, TX 76010-3217
Phone 817-323-0959
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