Provider Demographics
NPI:1487545976
Name:WOODS, JEFFRENE ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:JEFFRENE
Middle Name:ELIZABETH
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 DONEGAL BAY CT
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-5077
Mailing Address - Country:US
Mailing Address - Phone:616-634-1693
Mailing Address - Fax:
Practice Address - Street 1:4008 E STAN SCHLUETER LOOP STE 108-109
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-8536
Practice Address - Country:US
Practice Address - Phone:254-245-8003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT131836225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist