NPI 1013210996

Kimberly Porter, LMT

Practitioner Specialist Tempe, AZ

Practice location

Address: 2200 S Rural Rd, Tempe, AZ 85282-1411
Phone: (480) 921-8036
Fax: (480) 921-8037

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MT-02552 (AZ)

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Registry record

NPI: 1013210996
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2010
Record last updated: 14 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.