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Kimberly Rene Wyatt, LMT
Massage Therapist in North Bend, Oregon
NPI 1538492301

Kimberly Rene Wyatt is a Massage Therapist based in North Bend, OR. Kimberly Rene Wyatt practices in North Bend, OR and has the professional credentials of LMT. The NPI Number for Kimberly Rene Wyatt is 1538492301 and holds a License No. 10760 (Oregon).

The current practice location address for Kimberly Rene Wyatt is 3229 Broadway St Ste G, North Bend, OR and can be reached out via phone at 541-751-7979 and via fax at 541-751-7877.

Location: 3229 Broadway St Ste G, North Bend, OR, 97459-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538492301
Provider Name
Kimberly Rene Wyatt
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3229 Broadway St Ste G, North Bend, OR, 97459-2203
Phone Number
541-751-7979
Fax Number
541-751-7877
Provider Enumeration Date
09/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3229 Broadway St Ste G
City
North Bend
State
Oregon
Zip
97459-2203
Phone Number
541-751-7979
Fax Number
541-751-7877
person
Provider Business Mailing Address Details
Address
3229 Broadway St Ste G
City
North Bend
State
Oregon
Zip
97459-2203
Phone Number
541-751-7979
Fax Number
541-751-7877
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
10760 (Oregon)
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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