Individual
KIMBERLI BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
217 WARD ST, BENTON, TN 37307-3054
(423) 338-8088
(423) 338-8188
Mailing address
PO BOX 767, BENTON, TN 37307-0767
(423) 338-8088
(423) 338-8188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000009963
TN
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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