NPI 1407262801
Kimberly Deterding, LACLMT
Practice location
- Address
- 111 1st St E, Independence, IA 50644-2806
- Phone
- (319) 231-9545
- Mailing address
- 3336 Kimball Ave STE 150b, Waterloo, IA 50702-5762
Registered specialties (2)
Acupuncturist
Primary
Massage Therapist
Registry record
- NPI
- 1407262801
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Jul 2014
- Record last updated
- 9 Oct 2025
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.