Individual
MS. DAWN ELAINE ROSE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1005 21ST ST SE, RIO RANCHO, NM 87124-4030
(517) 282-7006
Mailing address
1200A CALLE PLACITAS, BERNALILLO, NM 87004
(517) 282-7006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT.0021423
CO
225700000X
Massage Therapist
Primary
MT9486
NM
Other
Enumeration date
06/29/2020
Last updated
03/01/2023
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