Individual
STACEY Y KIMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMY
Contact information
Practice address
146 RIVER SQUARE PLZ, HUEYTOWN, AL 35023-1667
(205) 997-0175
Mailing address
PO BOX 3650, HUEYTOWN, AL 35023-0650
(205) 332-2868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6035
AL
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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