Individual
KRISTYN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, BCTMB
Contact information
Practice address
1688 WILLOW ST STE J, SAN JOSE, CA 95125-5109
(669) 258-4888
Mailing address
1688 WILLOW ST STE J, SAN JOSE, CA 95125-5109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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