| Kimberly Gustin, | |
|
2418 Burcham St, Kelso, WA 98626-5141 | |
| (360) 751-4895 | |
| Not Available |
| Full Name | Kimberly Gustin |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 2418 Burcham St, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568889764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA 60386099 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Gustin, 2418 Burcham St, Kelso, WA 98626-5141 Ph: (360) 751-4895 | Kimberly Gustin, 2418 Burcham St, Kelso, WA 98626-5141 Ph: (360) 751-4895 |
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