Individual
KATHLEEN J WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
201 E LEXINGTON AVE, PHOENIX, AZ 85012-2321
(602) 507-0531
Mailing address
201 E LEXINGTON AVE, PHOENIX, AZ 85012-2321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#MT-07100P
AZ
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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