Individual
GLENN KIRKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1020 GIRARD ST NW APT 2, WASHINGTON, DC 20001-4788
(202) 236-0175
Mailing address
1020 GIRARD ST NW APT 2, WASHINGTON, DC 20001-4788
(202) 236-0175
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2535
DC
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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