Individual
KIMBERLY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, AMMP
Contact information
Practice address
12830 HILLCREST RD, STE D226, DALLAS, TX 75230-1527
(469) 554-8429
Mailing address
PO BOX 495491, GARLAND, TX 75049-5491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT110672
TX
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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