Kimberly Staples, LMT
Massage Therapist in Lebanon, TN. Individual provider (NPI-1).
NPI number1316699754
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1316699754
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Staples
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2022
- Certification date
- Jan 26, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 14030 | TN | Yes |
Practice location
3544 Blackberry LnLebanon, TN 37087-8261
Phone 615-693-5946
Mailing address
3544 Blackberry LnLebanon, TN 37087-8261
Phone 615-693-5946
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