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Individual

RATIA KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, MMT, NDTR

Contact information

Practice address
402 MOUNTAIN AVE SW APT 1, ROANOKE, VA 24016-3948
(434) 222-4522
Mailing address
402 MOUNTAIN AVE SW APT 1, ROANOKE, VA 24016-3948
(434) 222-4522

Taxonomy

Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
86083840
VA
225700000X
Massage Therapist
Primary
0019017997
VA

Other

Enumeration date
01/09/2024
Last updated
01/09/2024
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