Individual
KIMBERLY BALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REFLEXOLOGIST
Contact information
Practice address
554 LIBERTY HWY STE 8, PUTNAM, CT 06260-2728
(860) 494-9760
Mailing address
554 LIBERTY HWY STE 8, PUTNAM, CT 06260-2728
(860) 494-9760
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
1029
RI
Other
Enumeration date
02/13/2024
Last updated
09/03/2025
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