Kim Renee Evensvold, LMT

NPI #1982445623 in Hayden, Idaho

Provider Information

NPI Number: 1982445623
Entity Type: Individual
Name: Kim Renee Evensvold, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 5, 2024
Last Updated: Jun 5, 2024

Practice Location

Address: HAYDEN YOGA & MASSAGE
Address 2: 181 W. COMMERCE DRIVE
City: Hayden
State: Idaho
ZIP Code: 83835
Phone: (208) 696-1330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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