Individual
MS. KIMBERLY ANNE BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1401 N ELIZABETH ST, PUEBLO, CO 81003-2158
(719) 544-3201
(719) 544-3201
Mailing address
1706 TIERRA BERIENDA, PUEBLO, CO 81008-2610
(719) 583-4125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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