Individual
KIMBERLY DETERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC; LMT
Contact information
Practice address
111 1ST ST E, INDEPENDENCE, IA 50644-2806
(319) 231-9545
Mailing address
3336 KIMBALL AVE STE 150B, WATERLOO, IA 50702-5762
(319) 231-9545
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A-138
IA
225700000X
Massage Therapist
007159
IA
Other
Enumeration date
07/07/2014
Last updated
10/09/2025
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