NPI 1417793753

Kelisha Burnett, LMT

Practitioner Massage Therapist Corsicana, TX

Practice location

Address: 319 W 3rd Ave, Corsicana, TX 75110-4665
Phone: (903) 851-7703
Mailing address: PO Box 1535, Corsicana, TX 75151-1535

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT136247 (TX)

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Registry record

NPI: 1417793753
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2024
Record last updated: 5 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.