Krista V Hazlett, LMT, MMP

NPI #1588282107 in Bryan, Texas

Provider Information

NPI Number: 1588282107
Entity Type: Individual
Name: Krista V Hazlett, LMT, MMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, MMP
Enumeration Date: Jul 9, 2020
Last Updated: Jul 9, 2020

Practice Location

Address: 106 NORTH AVE E
City: Bryan
State: Texas
ZIP Code: 77801-4437
Phone: (832) 356-3784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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