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Kendricks Roberts, LMT

Massage Therapist in McKinney, TX. Individual provider (NPI-1).

NPI number1942954565
StatusActive
Last updated in NPPESFeb 11, 2022

Details

NPI
1942954565
Entity type
Individual (NPI-1)
Name
Mr. Kendricks Roberts
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 11, 2022
Certification date
Feb 11, 2022
Last updated
Feb 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT111117TXYes

Practice location

6212 Smithwick Dr
McKinney, TX 75070-3572

Phone 972-802-2836

Mailing address

12100 Ford Rd # B313
Dallas, TX 75234-7243

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