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KIMBERLY ANTOINE LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1679000194

Individual Registrant:
 KIMBERLY  ANTOINE LMT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
325 S SULLIVAN RD  SPOKANE VALLEY, WA 99037-6019 US
Tel: 509-928-9098  Fax: --

Contact information for business:
2311 W 16TH AVE LOT 174  SPOKANE, WA 99224-4418 US
Tel: 509-592-0976  Fax: --

Registration Information:
NPI: 1679000194
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
WA60728278

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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