Kyoko Provencio is a massage therapist in Jacksonville, AR. The provider is 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. Kyoko Provencio NPI is 1659904514. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
136 GREGORY PL
JACKSONVILLE, AR
ZIP 72076-212
Phone: (501) 412-4536
The enumeration date for this NPI number is 2/19/2020 and was last updated on 2/19/2020.