Individual
KIMBERLY TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 BELLEVIEW AVE, ORANGE, VA 22960-1401
(540) 661-7026
Mailing address
149 BELLEVIEW AVE, ORANGE, VA 22960-1401
(540) 661-7026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019013841
VA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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