Individual
KYMBERLY GAIL LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMMT
Contact information
Practice address
2103 W ELLIOT RD, CHANDLER, AZ 85224-1716
(480) 343-1119
(480) 314-2037
Mailing address
2103 W ELLIOT RD, CHANDLER, AZ 85224-1716
(480) 343-1119
(480) 314-2037
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-07795
AZ
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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