KIMBERLY RENE WYATT LMT NPI 1538492301

NPI Information

NPI: 1538492301
Provider Name: KIMBERLY RENE WYATT, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
3229 BROADWAY ST STE G
NORTH BEND, OR
ZIP 97459
Phone: (541) 751-7979
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Kimberly Rene Wyatt, LMT is a massage therapist in North Bend, OR. 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. Kimberly Rene Wyatt, LMT NPI is 1538492301. 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:

3229 BROADWAY ST STE G
NORTH BEND, OR
ZIP 97459-203
Phone: (541) 751-7979
Fax: (541) 751-7877

The enumeration date for this NPI number is 9/11/2009 and was last updated on 9/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		10760	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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