Individual
KIRSTIN NORDLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8353 SW 124TH ST, SUITE 201, MIAMI, FL 33156-5851
(786) 732-6915
Mailing address
8353 SW 124TH ST, SUITE 201, MIAMI, FL 33156-5851
(786) 732-6915
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME0055848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 58176
MASSAGE
FL
Enumeration date
03/13/2008
Last updated
09/12/2014
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