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Kylie Ellison, LMT
Massage Therapist in Tyler, Texas
NPI 1922415207

Kylie Ellison is a Massage Therapist based in Dallas, TX. Kylie Ellison practices in Tyler, TX and has the professional credentials of LMT. The NPI Number for Kylie Ellison is 1922415207 and holds a License No. MT110273 (Texas).

The current practice location address for Kylie Ellison is 2140 W Grande Blvd, Tyler, TX and can be reached out via phone at 903-521-1358.

Location: 2140 W Grande Blvd, Tyler, TX, 75248-2778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922415207
Provider Name
Kylie Ellison
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2140 W Grande Blvd, Tyler, TX, 75248-2778
Phone Number
903-521-1358
Fax Number
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2140 W Grande Blvd
City
Tyler
State
Texas
Zip
75703-0563
Phone Number
903-521-1358
Fax Number
person
Provider Business Mailing Address Details
Address
2140 W Grande Blvd
City
Tyler
State
Texas
Zip
75703-0563
Phone Number
903-521-1358
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT110273 (Texas)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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