Individual
KATHRYN L HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
10965 WINDS CROSSING DR STE 100, CHARLOTTE, NC 28273-2400
(704) 504-2194
(704) 504-2197
Mailing address
425 HUNTERS DANCE ROAD, FORT MILL, SC 29708-5503
(704) 504-2194
(704) 504-2197
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6310
NC
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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