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NPI Code Detail

MEDICARE: CARREN JONES LMT

MEDICARE: CARREN JONES LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1093455065
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARREN JONES LMT
Provider Business Mailing Address
First Line : 815 W 8TH ST APT 1
Second Line :
City : DALLAS
State : TX
Zip : 75208-4985
Country : US
Telephone Number : 214-621-9092
Fax Number :
Provider Business Practice Location Address
First Line : 815 W 8TH ST APT 1
Second Line :
City : DALLAS
State : TX
Zip : 75208-4985
Country : US
Telephone Number : 214-621-9092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/29/2022

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Directions to “ CARREN JONES LMT” Practice Location

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