NPI 1427323625

Molly Deisroth-Kim, MS

Practitioner Clinical Exercise Physiologist Waltham, MA

Practice location

Address: 40 2nd Ave Suite 510, Waltham, MA 02451-1132
Phone: (781) 487-6103
Mailing address: 20 Green Way, Wayland, MA 01778-2626

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X Licence 127683 (IN)

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Registry record

NPI: 1427323625
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2012
Record last updated: 20 Mar 2012

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.