Individual
KIMBERLY MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
260 TREMONT ST, BOX 120008, BOSTON, MA 02116-5603
(617) 636-5175
(617) 636-5176
Mailing address
260 TREMONT ST, BOX 120008, BOSTON, MA 02116-5603
(617) 636-5175
(617) 636-5176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16907
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Y69467
—
MA
Enumeration date
11/10/2005
Last updated
07/08/2007
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