Individual
RUSSELL IVAN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
202 S MAIN ST STE 450, ABERDEEN, SD 57401-4114
(605) 377-5930
Mailing address
202 S MAIN ST STE 450, ABERDEEN, SD 57401-4114
(605) 377-5930
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11625
SD
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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