MEDICARE: KHALEF RAHHIMM ALEXIS

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
1	225700000X	Massage Therapist	MT138701	TX

General Provider Information

NPI Number	:	1275399412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHALEF RAHHIMM ALEXIS

Provider Business Mailing Address
First Line	:	1627 SUMMERS DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-4919
Country	:	US
Telephone Number	:	817-862-8839
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 W DAVIS ST APT 160
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4554
Country	:	US
Telephone Number	:	817-862-8839
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	02/26/2024

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Directions to “ KHALEF RAHHIMM ALEXIS ” Practice Location

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