JEFFREY FULLER NPI 1730517368

NPI Information

Jeffrey Fuller is a massage therapist in Dallas, TX. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Jeffrey Fuller NPI is 1730517368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3824 CEDAR SPRINGS RD # 433
DALLAS, TX
ZIP 75219-136
Phone: (214) 306-5401
Fax: (214) 206-9073

The enumeration date for this NPI number is 10/16/2013 and was last updated on 10/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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