DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA RENEE BALLARD, LMT,MMP

Active Sole Proprietor

CARISSA RENEE BALLARD, LMT,MMP is a Massage Therapist healthcare provider located in FREDERICKSBURG, Texas. NPI 1518112721 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · FREDERICKSBURG, TX

Registration Details

NPI Number
1518112721
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2008 (17.74243845943 yrs)
Last Updated
Dec 2, 2008
License
MT013997 (TX)
Sole Proprietor
Yes

Practice Information

Address
109 E HIGHWAY ST
FREDERICKSBURG, TX, 786245006
Browse TX providers · Browse ZIP 78624
Phone
8309975267
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in FREDERICKSBURG, TX

Name Credential NPI
MS. LAUREN E WINN LMT 1790450955
DARCEY M MATTSON 1922813831
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.