Bruce Kitchen, LMP
NPI #1316369861 in Hayden Lake, Idaho
Provider Information
- NPI Number
- 1316369861
- Entity Type
- Individual
- Name
- Bruce Kitchen, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Jan 16, 2014
- Last Updated
- Jan 16, 2014
Practice Location
- Address
- 13403 N GOVERNMENT WAY
- City
- Hayden Lake
- State
- Idaho
- ZIP Code
- 83835-9460
- Phone
- (208) 215-9372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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