Individual
MS. LOVE KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2105 ELECTRIC RD, SUITE 103, ROANOKE, VA 24018-2315
(540) 400-0004
Mailing address
10275 BENT MOUNTAIN RD, BENT MOUNTAIN, VA 24059-2109
(540) 400-0004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019012259
VA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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