Individual
KIMBERLY REXROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
167 DRY HILL RD, BECKLEY, WV 25801-2603
(304) 256-1111
(304) 256-1113
Mailing address
PO BOX 586, BECKLEY, WV 25802-0586
(304) 256-1111
(304) 256-1113
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2014-3267
WV
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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