NPI 1497390942

Russell Ivan Kimball, LMT

Practitioner Massage Therapist Aberdeen, SD

Practice location

Address: 202 S Main St STE 450, Aberdeen, SD 57401-4114
Phone: (605) 377-5930

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT11625 (SD)

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Registry record

NPI: 1497390942
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2019
Record last updated: 7 Nov 2019

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.