Individual
KIMBERLY ANN NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9391 SE 29TH AVE, PORTLAND, OR 97222-6401
(810) 841-8394
Mailing address
9391 SE 29TH AVE, PORTLAND, OR 97222-6401
(810) 841-8394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24196
OR
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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