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
State
Oregon
ZIP Code
97459-2203
Phone
(541) 751-7979

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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