Individual
KIMBERLY MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 E AUGLAIZE ST, WAPAKONETA, OH 45895-1505
(567) 371-2579
Mailing address
1056 S KEMP RD, LIMA, OH 45806-9379
(567) 371-2579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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