Individual
MRS. KIMBERLY RENE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2634 W JOHN BEERS RD, STEVENSVILLE, MI 49127-1213
(269) 325-7167
Mailing address
5726 SAINT JOSEPH AVE, STEVENSVILLE, MI 49127-1240
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
7501001747
MI
405300000X
Prevention Professional
Primary
7501001747
MI
Other
Enumeration date
04/10/2017
Last updated
04/12/2017
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