Provider Demographics
NPI:1245867670
Name:BATCHELDER, KIMBERLY SUE (LMT)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:SUE
Last Name:BATCHELDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:KIMBERLY BATCHELDER 434 S. FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864
Mailing Address - Country:US
Mailing Address - Phone:406-396-9990
Mailing Address - Fax:
Practice Address - Street 1:SANDPOINT MEDICAL MASSAGE & BODYWORKS, LLC
Practice Address - Street 2:515 PINE STREET STE G.
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864
Practice Address - Country:US
Practice Address - Phone:208-502-0728
Practice Address - Fax:208-575-8309
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist