Individual
KIMBERLY R MERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17828 MOUND RD STE G, CYPRESS, TX 77433-6295
(346) 200-2565
Mailing address
17828 MOUND RD STE G, CYPRESS, TX 77433-6295
(346) 200-2565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT139188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT139188
LMT
TX
Enumeration date
06/06/2024
Last updated
06/06/2024
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