Individual
MS. KIMBERLY MCCLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4015 N ARMENIA AVE, TAMPA, FL 33607-1001
(813) 955-6742
Mailing address
14444 REUTER STRASSE CIR APT 2, TAMPA, FL 33613-3109
(828) 270-8282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA65669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA65669
STATE LISC.
FL
Enumeration date
03/27/2019
Last updated
03/27/2019
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