KYLIE ELLISON, LMT

Massage Therapist

Active Individual
NPI: 1922415207

Practice Address

2140 W GRANDE BLVD
SUITE A
Tyler, TX 75703

Phone: (903) 521-1358

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes MT110273 (TX)

Frequently Asked Questions

NPI 1922415207 is the National Provider Identifier for KYLIE ELLISON, LMT, a Massage Therapist provider located in Tyler, TX. This NPI was enumerated on July 17, 2014.
KYLIE ELLISON, LMT practices at 2140 W GRANDE BLVD, SUITE A, Tyler, TX 75703.

Quick Facts

NPI
1922415207
Type
Individual
Enumerated
Jul 17, 2014
Last Updated
Jul 17, 2014

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