Brackett, Kim

Brackett, Kim is an sole proprietor health care provider with primary practice located at 4601 Providence Rd , Charlotte NC 28226-5113. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Brackett, Kim can be contacted via phone (704) 367-0561.

Contact Information

Primary practice address
4601 Providence Rd Charlotte NC 28226-5113
Phone: (704) 367-0561
Fax: (704) 367-0561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 4087 North Carolina

Profile Details

NPI number 1851535835
LBN Legal business name Brackett, Kim
Credentials LMBT, NCTMB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2009
Last updated Apr 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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