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NPI Code Detail

MEDICARE: NATALIE SUE KRUMBAH LMP

MEDICARE:   NATALIE SUE KRUMBAH  LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00022408WA

General Provider Information

NPI Number : 1912168956
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE SUE KRUMBAH LMP
Provider Business Mailing Address
First Line : 6710 S WORTMAN PL
Second Line :
City : SPOKANE
State : WA
Zip : 99224-4960
Country : US
Telephone Number : 509-378-5946
Fax Number :
Provider Business Practice Location Address
First Line : 1303 S GRAND BLVD
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1136
Country : US
Telephone Number : 509-838-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 10/14/2015

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Directions to “ NATALIE SUE KRUMBAH LMP” Practice Location

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