Individual
KIMBERLY COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, AMTA
Contact information
Practice address
645 STATE ROAD, IN NAILZ ETC, WESTPORT, MA 02790-2551
(508) 725-5337
Mailing address
1 FOX WAY, BERKLEY, MA 02779-2011
(508) 725-5337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
438743-00
MA
Other
Enumeration date
02/02/2007
Last updated
12/24/2007
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