Kimberly Rene Wyatt, LMT
NPI #1538492301 in North Bend, Oregon
Provider Information
- NPI Number
- 1538492301
- Entity Type
- Individual
- Name
- Kimberly Rene Wyatt, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Sep 11, 2009
- Last Updated
- Sep 11, 2009
Practice Location
- Address
- 3229 BROADWAY ST STE G
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-2203
- Phone
- (541) 751-7979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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