Individual
KATHY MARY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2309 SYCAMORE TRL, ROUND ROCK, TX 78664-7767
(512) 786-1672
Mailing address
2309 SYCAMORE TRL, ROUND ROCK, TX 78664-7767
(512) 786-1672
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT045458
TX
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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