Individual
KIMBERLY AKERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
503 WISE ST, NEWARK, TX 76071-3828
(817) 476-0205
Mailing address
503 WISE ST, NEWARK, TX 76071-3828
(817) 476-0205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT131364
TX
Other
Enumeration date
05/13/2019
Last updated
02/28/2020
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