# KIM SALLOUX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720533193
- **Gender:** F
- **Credential:** LAC LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 32222 | MT | Yes |
| 225700000X | Massage Therapist | 7936 | MT | — |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 08/16/2016