Individual
JI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2623 S DEFRAME CIR, LAKEWOOD, CO 80228-4736
(770) 851-5404
Mailing address
2623 S DEFRAME CIR, LAKEWOOD, CO 80228-4736
(770) 851-5404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
88-1385157
CO
225700000X
Massage Therapist
881385157
CO
225700000X
Massage Therapist
Primary
MT.0024725
CO
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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