Provider Demographics
NPI:1871628412
Name:LEFORE, KIMBERLY MARIE (NCMMT)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MARIE
Last Name:LEFORE
Suffix:
Gender:F
Credentials:NCMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2609
Mailing Address - Country:US
Mailing Address - Phone:406-534-1332
Mailing Address - Fax:406-534-1332
Practice Address - Street 1:2340 AVENUE B
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2609
Practice Address - Country:US
Practice Address - Phone:406-534-1332
Practice Address - Fax:406-534-1332
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist