Individual
MRS. DONNA KAY KIENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., C.S.T.
Contact information
Practice address
1324 E PARK ST, TAYLORVILLE, IL 62568-2366
(217) 778-4292
Mailing address
1121 E MAIN CROSS ST, TAYLORVILLE, IL 62568-2351
(217) 778-4292
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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