Individual
KIRA LYNN MALIZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
103 CRESCENT AVE, LOUISVILLE, KY 40206-1525
(805) 390-4137
Mailing address
3601 EASTSIDE DR, LOUISVILLE, KY 40220-3539
(805) 390-4137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
166264
KY
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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