Individual
KRISTIN MARIE BURDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
636 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5526
(501) 374-1153
(501) 374-6213
Mailing address
636 WEST BROADWAY, NORTH LITTLE ROCK, AR 72114
(501) 374-1153
(501) 374-6213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4227
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4227
MASSAGE THERAPY LICENSE
AR
Enumeration date
08/16/2006
Last updated
07/08/2007
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