NPI 1710261862

Dale S Nimmo, LMT

Practitioner Mechanotherapist Springfield, MO

Practice location

Address: 777 E Battlefield St Suite 103-F, Springfield, MO 65807-4807
Phone: (417) 773-2921
Mailing address: 1157 E Greenwood St, Springfield, MO 65807-3714

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 26-2987198 (MO)

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Registry record

NPI: 1710261862
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2011
Record last updated: 7 Oct 2011

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.