Individual
MRS. KATHY L RICHBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT.CMMP
Contact information
Practice address
10203 N CENTRAL EXPY, DALLAS, TX 75231-3401
(214) 890-7776
Mailing address
1508 BRADFORD ST, IRVING, TX 75061-1902
(972) 805-7061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008113
TX
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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