Individual
KIMBERLY BROOKE EVOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
946 S MERIDIAN ST, JASONVILLE, IN 47438-2112
(812) 798-6382
Mailing address
946 S MERIDIAN ST, JASONVILLE, IN 47438-2112
(812) 798-6382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21003322
IN
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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