Healthcare Provider Details

I. General information

NPI: 1407610801
Provider Name (Legal Business Name): TOE BROTHERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 S STONEBRIDGE DR STE 1302
MCKINNEY TX
75070-8089
US

IV. Provider business mailing address

3900 S STONEBRIDGE DR STE 1302
MCKINNEY TX
75070-8089
US

V. Phone/Fax

Practice location:
  • Phone: 469-631-7966
  • Fax: 469-631-7988
Mailing address:
  • Phone: 469-631-7966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LEIGH
Title or Position: MANAGER
Credential: LMT
Phone: 214-886-6162