NPI 1104329515

Michael Kimball, LMT

Practitioner Massage Therapist Manchester, NH

Practice location

Address: 944 Elm St STE 21, Manchester, NH 03101-2020
Phone: (603) 627-6678

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1212M (NH)

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Registry record

NPI: 1104329515
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2018
Record last updated: 12 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.