Individual
MISS KIONDRA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4915 ALBEMARLE RD, CHARLOTTE, NC 28205-6617
(213) 290-6167
Mailing address
8416 LARKMEAD FOREST DR, CHARLOTTE, NC 28269-1154
(213) 290-6167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20191
NC
Other
Enumeration date
12/19/2023
Last updated
03/03/2026
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