Kimberly D Ercoliani, LMP

NPI #1033401526 in Tumwater, Washington

Provider Information

NPI Number: 1033401526
Entity Type: Individual
Name: Kimberly D Ercoliani, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 419 S 4TH AVE SW
City: Tumwater
State: Washington
ZIP Code: 98512-6520
Phone: (360) 789-6647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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