Individual
MS. KIM BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, NCTMB
Contact information
Practice address
4601 PROVIDENCE RD, CHARLOTTE, NC 28226-5113
(704) 367-0561
(704) 367-0561
Mailing address
4601 PROVIDENCE RD, CHARLOTTE, NC 28226-5113
(704) 367-0561
(704) 367-0561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4087
NC
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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