NPI 1700643723

Kennell Benitez-Diaz, LMT

Practitioner Massage Therapist Belton, TX

Practice location

Address: 111 N Wall St Unit 1334, Belton, TX 76513-0130
Phone: (512) 769-8441

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT137551 (TX)

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Registry record

NPI: 1700643723
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2024
Record last updated: 5 Mar 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.