Individual
TIMOTHY ALLEN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCTMB-LMT, C-EP
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
225700000X
Massage Therapist
Primary
04035
IA
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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