Individual
KATHRYN MISCAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 S I 10 SERVICE RD W STE 103R, METAIRIE, LA 70001-7440
(504) 264-3490
Mailing address
2903 TUGIE ST, METAIRIE, LA 70003-3929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3657
LA
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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