Individual
MS. KIRSTEN KOOLHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7328 W CORDES RD, PHOENIX, AZ 85043-7261
(480) 347-7817
Mailing address
7328 W CORDES RD, PHOENIX, AZ 85043-7261
(480) 347-7817
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-21168
AZ
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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