Individual
MS. KIMBERLY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
202 DESOTO DR, NASHVILLE, TN 37210-5108
(615) 933-8936
Mailing address
202 DESOTO DR, NASHVILLE, TN 37210-5108
(615) 933-8936
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10996
TN
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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