Individual
KRISTEN ANNE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
680 FALMOUTH RD STE H, MASHPEE, MA 02649-3338
(774) 368-0863
Mailing address
12 HOLT RD APT 2, BUZZARDS BAY, MA 02532-3468
(774) 368-0863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12120
MA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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