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Bruce Kitchen, LMP
Massage Therapist in Hayden Lake, Idaho
NPI 1316369861

Bruce Kitchen is a Massage Therapist based in Cataldo, ID. Bruce Kitchen practices in Hayden Lake, ID and has the professional credentials of LMP. The NPI Number for Bruce Kitchen is 1316369861 and holds a License No. MASG-1028 (Idaho).

The current practice location address for Bruce Kitchen is 13403 N Government Way, Hayden Lake, ID and can be reached out via phone at 208-215-9372.

Location: 13403 N Government Way, Hayden Lake, ID, 83810-9324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316369861
Provider Name
Bruce Kitchen
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
13403 N Government Way, Hayden Lake, ID, 83810-9324
Phone Number
208-215-9372
Fax Number
Provider Enumeration Date
01/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13403 N Government Way
City
Hayden Lake
State
Idaho
Zip
83835-9460
Phone Number
208-215-9372
Fax Number
person
Provider Business Mailing Address Details
Address
13403 N Government Way
City
Hayden Lake
State
Idaho
Zip
83835-9460
Phone Number
208-215-9372
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MASG-1028 (Idaho)
Definition
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.
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