Individual
MRS. KATHIE KAY HIXON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
1704 LEXINGTON AVE N, ROSEVILLE, MN 55113-6514
(612) 703-3295
Mailing address
1704 LEXINGTON AVE N, ROSEVILLE, MN 55113-6514
(612) 703-3295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
03/11/2024
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