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NPI Code Detail

MEDICARE: DALLAS CHRISTIAN KINCH L.M.P.

MEDICARE:   DALLAS CHRISTIAN KINCH  L.M.P.
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 TherapistMA60084236WA

General Provider Information

NPI Number : 1003140377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALLAS CHRISTIAN KINCH L.M.P.
Provider Business Mailing Address
First Line : 2381 S SOUTHEAST BLVD
Second Line : APARTMENT 3
City : SPOKANE
State : WA
Zip : 99203-4551
Country : US
Telephone Number : 509-338-5982
Fax Number :
Provider Business Practice Location Address
First Line : 3022 E 57TH AVE
Second Line : SUITE 14
City : SPOKANE
State : WA
Zip : 99223-7033
Country : US
Telephone Number : 509-338-5982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2009
Last Update Date : 03/06/2010

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Directions to “ DALLAS CHRISTIAN KINCH L.M.P.” Practice Location

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