Individual
KATELYN SOUTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1307 JAMESTOWN RD STE 103, WILLIAMSBURG, VA 23185-3381
(757) 229-4161
Mailing address
1307 JAMESTOWN RD STE 103, WILLIAMSBURG, VA 23185-3381
(757) 229-4161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010081
VA
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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