Individual
KIMBERLY LEONA GREEN-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18209 BRADY, REDFORD, MI 48240-1702
(248) 761-7532
Mailing address
18209 BRADY, REDFORD, MI 48240-1702
(248) 761-7532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010727
MI
Other
Enumeration date
02/28/2018
Last updated
02/11/2021
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