The Knead Physical Medicine, PA

NPI #1174062608 in Farmers Branch, Texas

Provider Information

NPI Number: 1174062608
Entity Type: Organization
Organization Name: The Knead Physical Medicine, PA
Primary Specialty: Massage Therapist
Enumeration Date: Feb 16, 2017
Last Updated: Feb 16, 2017

Practice Location

Address: 13465 INWOOD RD
Address 2: STE 120-130
City: Farmers Branch
State: Texas
ZIP Code: 75244
Phone: (469) 213-2762

Authorized Official

Name: MS. DAKOTA BLACK HAWKE
Title: DIRECTOR OF OPERATIONS & FINANCE
Phone: (469) 213-2762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietary Manager	132700000X
Allergy & Immunology	207K00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Massage Therapist	225700000X	Primary

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