Individual
KATHY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13543 PRINCEDALE DR, WOODBRIDGE, VA 22193-3840
(305) 725-7295
Mailing address
13543 PRINCEDALE DR, WOODBRIDGE, VA 22193-3840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19020718
VA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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