Carroll, Keyuna S

Carroll, Keyuna S is an sole proprietor health care provider with primary practice located at 5035 Willis Ave , Dallas TX 75206-6406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Carroll, Keyuna S can be contacted via phone (469) 658-9116.

Contact Information

Primary practice address
5035 Willis Ave Dallas TX 75206-6406
Phone: (469) 658-9116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 113362 Texas

Profile Details

NPI number 1134498728
LBN Legal business name Carroll, Keyuna S
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2011
Last updated Dec 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134498728 NPPES
Texas Other 113362 TEXAS DEPARTMENT OF STATE HEALTH SERVICES

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