Organization
KRM SPA LLC
Active
Other names
Katherine Mancilla LMT
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE R MANCILLA LMT (MASSAGE THERAPIST)
(786) 200-4312
Entity
Organization
Contact information
Practice address
1540 NE 191ST ST APT 140, MIAMI, FL 33179-4106
(786) 200-4312
Mailing address
1540 NE 191ST ST APT 140, MIAMI, FL 33179-4106
(786) 200-4312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
06/05/2025
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