Provider / Organization | NPI | Date Certified |
---|---|---|
KIM FOREHAND-VAN DER LINDE | 1144987447 | 2021-11-21 |
Kim Forehand-van Der Linde is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144987447. Registration indicates Kim Forehand-van Der Linde is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Dr. Kim Forehand-van Der Linde PHD, LMT |
Practice Office Address | 1342 TIMBERLANE RD STE 102A TALLAHASSEE, FL US |
Practice Office Telephone | 8503638897 |
Mailing Address | 477 SMALL POND RD HAVANA, FL 323334896 US |
Business Telephone | 8503638897 |
Code | Practice | License No State |
---|---|---|
225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | MA92689
FL |