Individual
MICHAEL KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
944 ELM ST STE 21, MANCHESTER, NH 03101-2020
(603) 627-6678
Mailing address
944 ELM ST STE 21, MANCHESTER, NH 03101-2020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1212M
NH
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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