Provider Demographics
NPI:1972890580
Name:WATTS, MALEIGHA KIM, MA RIN (ND)
Entity type:Individual
Prefix:DR
First Name:MALEIGHA
Middle Name:KIM, MA RIN
Last Name:WATTS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566-1414
Mailing Address - Country:US
Mailing Address - Phone:419-376-6104
Mailing Address - Fax:
Practice Address - Street 1:13 S 3RD ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-1414
Practice Address - Country:US
Practice Address - Phone:419-376-6104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-03
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10-1223175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath