Individual
KAITLIN VICTORIA NOVOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1150 S WALDRON RD, FORT SMITH, AR 72903-2583
(479) 452-4433
Mailing address
105 BRITTANY, POCOLA, OK 74902-2362
(918) 839-7473
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3804
AR
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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