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1114762911
KELLI RAE BACKHAUS
AUSTIN, TX
NPI
1114762911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT121927)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
KELLI RAE BACKHAUS
1616 W 6TH ST APT 323
AUSTIN, TX 78703-5011
Phone number: 512-608-7647
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Mailing Address
KELLI RAE BACKHAUS
1616 W 6TH ST APT 323
AUSTIN, TX 78703-5011
Phone number: 512-608-7647
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