MEDICARE: KEYERA MCCROY

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	MT133808	TX

General Provider Information

NPI Number	:	1285466292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEYERA MCCROY

Provider Business Mailing Address
First Line	:	14006 POTRANCO RD APT 9206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4023
Country	:	US
Telephone Number	:	414-323-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	14006 POTRANCO RD APT 9206
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4023
Country	:	US
Telephone Number	:	414-323-0200
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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Directions to “ KEYERA MCCROY ” Practice Location

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