Individual provider · Type 1 NPI
Kimberli Booth, MT
Massage Therapist · Benton, TN
NPI number
1053757005
Active
Practice location
217 Ward St
Benton, TN 37307-3054
Fax (423) 338-8188
Mailing address
PO Box 767
Benton, TN 37307-0767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0000009963 (TN) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2 other providers at this address
About NPI 1053757005
Kimberli Booth, MT's National Provider Identifier is 1053757005, issued on May 17, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Benton, TN. The record was last updated on May 17, 2013.