Individual
KANDACE RODATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3500 S 70TH ST, FORT SMITH, AR 72903-5197
(479) 206-3919
Mailing address
6400 MASSARD RD APT 407, FORT SMITH, AR 72916-8861
(479) 206-3919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8353
AR
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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