Kimberly Deterding, LMT is a
Massage Therapist based in Waterloo, Iowa. Kimberly Deterding is licensed to practice in Iowa (license number 007159) and her current practice location is
3336 Kimball Ave Ste 150b, Waterloo, Iowa. She can be reached at her office (for appointments etc.) via phone at
(319) 231-9545.
NPI number for Kimberly Deterding is 1407262801 and her current mailing address is 3336 Kimball Ave Ste 150b, Waterloo, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407262801.
Healthcare Provider's Profile
Full Name | Kimberly Deterding |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 3336 Kimball Ave Ste 150b, Waterloo, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407262801
- Provider Enumeration Date: 07/07/2014
- Last Update Date: 09/19/2019
Medical Identifiers
Medical identifiers for Kimberly Deterding such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407262801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 007159 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Deterding is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Deterding, LMT 3336 Kimball Ave Ste 150b, Waterloo, IA 50702-5762 Ph: (319) 231-9545 | Kimberly Deterding, LMT 3336 Kimball Ave Ste 150b, Waterloo, IA 50702-5762 Ph: (319) 231-9545 |
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