Individual
KIMBERLY LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2503 WOODROW ST STE 2, PORTSMOUTH, VA 23707-2124
(757) 752-8594
Mailing address
646 DOUGLAS AVE, PORTSMOUTH, VA 23707-1906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015055
VA
Other
Enumeration date
05/01/2019
Last updated
08/08/2021
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