Individual
KIMBERLY KIRIAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2932 NORTHWESTERN AVE, RACINE, WI 53404-2249
(262) 488-9922
Mailing address
2932 NORTHWESTERN AVE, RACINE, WI 53404-2249
(262) 488-9922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3325-146
WI
Other
Enumeration date
04/13/2015
Last updated
06/11/2015
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