Healthcare Provider Details
I. General information
NPI: 1982315313
Provider Name (Legal Business Name): NATALIE ELIZABETH KUHLMANN CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
310 3RD ST NE
WAITE PARK MN
56387-1874
US
IV. Provider business mailing address
310 3RD ST NE
WAITE PARK MN
56387-1874
US
V. Phone/Fax
- Phone: 320-281-5243
- Fax:
- Phone: 320-281-5243
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: