Individual
KIMBERLY L MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 874-6813
Mailing address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 874-6813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1932
MA
Other
Enumeration date
11/22/2010
Last updated
08/19/2013
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