Individual
KIMBERLY A KNAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
2934 S MOUNT ZION RD, DECATUR, IL 62521-9723
(217) 864-1521
Mailing address
626 DUNN CIR, SULLIVAN, IL 61951-6398
(217) 620-5520
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.001810
IL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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