MISS Kimberly Nicole Mabry, LMT

NPI #1912093139 in Greenville, Illinois

Provider Information

NPI Number: 1912093139
Entity Type: Individual
Name: MISS Kimberly Nicole Mabry, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1105 E HARRIS AVE
City: Greenville
State: Illinois
ZIP Code: 62246-2221
Phone: (618) 664-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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