Individual
MRS. KIMBERLY ANN KORNIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
1117 STONE ST, SUITE 4, PORT HURON, MI 48060-3525
(810) 941-4256
Mailing address
1117 STONE ST, SUITE 4, PORT HURON, MI 48060-3525
(810) 941-4256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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