Individual
KIMBERLY MEGAN YANKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1146 GUSDORF ROAD, TAOS, NM 87571
(575) 404-1820
Mailing address
PO BOX 3171, RANCHOS DE TAOS, NM 87557-3171
(214) 636-3043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2023-0190
NM
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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