NPI 1316369861

Bruce Kitchen, LMP

Practitioner Massage Therapist Hayden Lake, ID

Practice location

Address: 13403 N Government Way, Hayden Lake, ID 83835-9460
Phone: (208) 215-9372
Mailing address: 23203 E Killarney Lake Rd, Cataldo, ID 83810-9324

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MASG-1028 (ID)

Other Massage Therapist providers in Idaho →

Registry record

NPI: 1316369861
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2014
Record last updated: 16 Jan 2014

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.