Provider Demographics
NPI:1659539468
Name:KYMLA EUBANKS, PLLC
Entity Type:Organization
Organization Name:KYMLA EUBANKS, PLLC
Other - Org Name:HIGHER OCTAVE HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KYMLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:EUBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:480-965-1082
Mailing Address - Street 1:PO BOX 7608
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-0021
Mailing Address - Country:US
Mailing Address - Phone:480-965-1082
Mailing Address - Fax:480-727-9697
Practice Address - Street 1:200 E. CURRY ROAD
Practice Address - Street 2:NO MAIL
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281
Practice Address - Country:US
Practice Address - Phone:480-965-1082
Practice Address - Fax:480-727-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ331210251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health