Doctor Name: | KIM SUZANNE PLAWCHAN |
NPI Number: | 1467694901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 11367 |
Business Practice Address: | 522 E. Sheldon St Prescott, AZ - 86301 |
Business Phone Number: | 9284602619 |
Business Fax Number: | |
Mailing Address: | 3550 S Senator Hwy, #3, PRESCOTT |
State: | AZ |
Postal Code: | 863038428 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/30/2009 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |