Individual
KIMBERLY DONNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
210 11TH ST STE 13, HUNTINGTON, WV 25701-1571
(304) 654-1725
Mailing address
210 11TH STREET, # 13, HUNTINGTON, WV 25701
(304) 654-1725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006-2026
WV
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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