Kim Boedigheimer, C.M.T.
Individual provider Active NPI Massage Therapist · Princeton, MN
NPI 1649694274 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1649694274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 114A Rum River Dr N
Princeton, MN 55371-1762 - Phone
- (612) 708-1468
- Fax
- (763) 631-0460
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Family Chiropractic Clinic Chartered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
114A Rum River Dr N
Princeton, MN 55371-1762
Mailing address
606 4TH Ave S Apt 2
Princeton, MN 55371-2255
Phone (612) 708-1468
Other providers in Princeton, MN
- Mary C. Berry
- Better Mental Health, PC
- Thomas J Blankenship
- Renna Kay Blavat
- Alexandra Blonigen
- Dane Bonath
- Lisa Lynn Bovy
- Eric Timothy Brandt
- Anthony Charles Braunreiter
- Chelsea Rae Brezinka
All providers in Princeton, MN · Massage Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.