Individual
KIMYATA GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3915 DELTA FAIR BLVD APT B31, ANTIOCH, CA 94509-4063
(510) 688-9412
Mailing address
3915 DELTA FAIR BLVD APT B31, ANTIOCH, CA 94509-4063
(510) 688-9412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
47838
CA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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