Secrest, Joe David
Secrest, Joe David is an sole proprietor health care provider with primary practice located at 5800 Edwards Ranch Rd Ste 200 , Fort Worth TX 76109-4126. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Secrest, Joe David can be contacted via phone (843) 345-3271.Contact Information
Primary practice address
5800 Edwards Ranch Rd Ste 200
Fort Worth TX 76109-4126
Phone: (843) 345-3271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT120063 | Texas |
Profile Details
| NPI number | 1083991780 |
|---|---|
| LBN Legal business name | Secrest, Joe David |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2011 |
| Last updated | Dec 31st, 2018 - about 6 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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