Individual
MS. KIRSTEN ELAINE GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
802 N 10TH ST, VINCENNES, IN 47591-3134
(812) 895-0539
Mailing address
802 N 10TH ST, VINCENNES, IN 47591-3134
(812) 895-0539
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-05409
AZ
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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