Individual
MRS. KIMBERLY RIVERS TAMBELLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1309 NE 7TH ST, #A, GRANTS PASS, OR 97526-1362
(541) 951-4930
Mailing address
1309 NE 7TH ST, #A, GRANTS PASS, OR 97526
(541) 951-4930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12754
OR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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