Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYOKO PROVENCIO
Active Sole ProprietorKYOKO PROVENCIO is a Massage Therapist healthcare provider located in JACKSONVILLE, Arkansas. NPI 1659904514 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · JACKSONVILLE, AR
Registration Details
- NPI Number
- 1659904514
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2020 (6.4380639278398 yrs)
- Last Updated
- Feb 19, 2020
- License
-
7773 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
136 GREGORY PLJACKSONVILLE, AR, 720763212Browse AR providers · Browse ZIP 72076
- Phone
- 5014124536
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in JACKSONVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| COLEMAN ALEXANDER | — | 1780321067 |
| MELISSA SUE COHEN | MMT, LE | 1578321394 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.