Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407262801 Individual Practitioner Female Practitioner

Kimberly Deterding , LAC, LMT

Acupuncturist • Independence, IA

Professional Overview & Biography Verified Profile Summary

Kimberly Deterding, LAC, LMT is a registered healthcare professional specializing in Acupuncturist in Independence, IA. Practice services are available at 111 1ST ST E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 1st St E

Independence, IA 506442806

Telephone 3192319545

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Independence, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Independence, IA (56 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-09
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License IA A-138

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License IA 007159

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 09, 2025

Registered at 111 1ST ST E, INDEPENDENCE, IA 506442806 (Tel: 3192319545)

👤
Provider Name / Credentials Updated October 09, 2025

Recorded as KIMBERLY DETERDING, LAC; LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Acupuncturist (License #A-138 in IA)

📍
Updated Practice Location September 19, 2019

Registered at 3336 KIMBALL AVE STE 150B, WATERLOO, IA 507025762 (Tel: 3192319545)

📍
Updated Business Mailing Address September 19, 2019

Registered at 3336 KIMBALL AVE STE 150B, WATERLOO, IA 507025762 (Tel: 3192319545)

NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2014

Registered at 2332 DUSTY RD, WATERLOO, IA 507019733 (Tel: 3192319545)

📍
Updated Business Mailing Address July 07, 2014

Registered at 2332 DUSTY RD, WATERLOO, IA 507019733 (Tel: 3192319545)

👤
Provider Name / Credentials Updated July 07, 2014

Recorded as KIMBERLY DETERDING, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Massage Therapist (License #007159 in IA)

🟢
Initial NPI Registration & Enumeration July 07, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407262801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2014
Last Update: October 09, 2025
Sole Proprietor: Yes

Mailing Address

3336 Kimball Ave Ste 150b

Waterloo, IA 507025762

Phone: 3192319545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.