Individual
KIMBERLY MARIE BOUNDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1301 ESTHER BLVD, BRYAN, TX 77802
(979) 676-1480
Mailing address
3266 FAZZINO LN, BRYAN, TX 77807-5418
(979) 676-1480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2083880
TX
225700000X
Massage Therapist
Primary
MT104684
TX
Other
Enumeration date
10/29/2009
Last updated
09/07/2018
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