Individual
KIMBERLY A COVENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
709 3RD AVE STE 103, LONGMONT, CO 80501-5926
(720) 933-2669
Mailing address
2154 FRONTIER ST, LONGMONT, CO 80501-0982
(720) 933-2669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10626
CO
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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