Individual
KEVIN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
333 E GRAND AVE, UNIT 104, DES MOINES, IA 50309-1958
(515) 369-3566
Mailing address
333 E GRAND AVE, UNIT 104, DES MOINES, IA 50309-1958
(515) 369-3566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
04505
IA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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