Individual
MRS. KIMBERLY SUEZANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4220 SHASTA WAY, KLAMATH FALLS, OR 97603-4842
(541) 892-5500
Mailing address
4220 SHASTA WAY, KLAMATH FALLS, OR 97603-4842
(541) 892-5500
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5144
OR
Other
Enumeration date
07/31/2007
Last updated
01/07/2015
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