Individual
KAMAL MAKKIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSM CEP
Contact information
Practice address
21 CLARENCE ST, WEST SPRINGFIELD, MA 01089-2438
(413) 781-0219
Mailing address
21 CLARENCE ST, WEST SPRINGFIELD, MA 01089-2438
(413) 781-0219
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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