Individual
KATHLEEN M BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1545 ROSEWOOD DR, BOWLING GREEN, OH 43402-1459
(419) 494-3563
Mailing address
1545 ROSEWOOD DR, BOWLING GREEN, OH 43402-1459
(419) 494-3563
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13300
OH
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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