Wyatt, Kimberly Rene
Wyatt, Kimberly Rene is an sole proprietor health care provider with primary practice located at 3229 Broadway St Ste G , North Bend OR 97459-2203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wyatt, Kimberly Rene can be contacted via phone (541) 751-7979.Contact Information
Primary practice address
3229 Broadway St Ste G
North Bend OR 97459-2203
Phone: (541) 751-7979
Fax: (541) 751-7877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 10760 | Oregon |
Profile Details
| NPI number | 1538492301 |
|---|---|
| LBN Legal business name | Wyatt, Kimberly Rene |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2009 |
| Last updated | Sep 11th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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