Individual provider · NPI-1

Khalef Rahhimm Alexis

Massage Therapist · Dallas, TX

NPI number1275399412
StatusActive
Last updated in NPPESFeb 26, 2024

Details

NPI
1275399412
Entity type
Individual (NPI-1)
Name
Khalef Rahhimm Alexis
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 26, 2024
Certification date
Feb 26, 2024
Last updated
Feb 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT138701TXYes

Practice location

111 W Davis St Apt 160
Dallas, TX 75208-4554

Phone 817-862-8839

Mailing address

1627 Summers Dr
Cedar Hill, TX 75104-4919

Phone 817-862-8839

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