Individual
KATHY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 AMT TECH DR # S202, ROCKY MOUNT, VA 24151-6735
(540) 489-4263
Mailing address
180 AMT TECH DR # S202, ROCKY MOUNT, VA 24151-6735
(540) 489-4263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019001643
VA
Other
Enumeration date
01/02/2015
Last updated
09/21/2015
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