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RUSSELL IVAN KIMBALL LMT NPI 1497390942

NPI Profile

NPI: 1497390942
Provider Name: RUSSELL IVAN KIMBALL, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
202 S MAIN ST STE 450
ABERDEEN, SD
ZIP 57401
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Phone: (605) 377-5930

Russell Ivan Kimball, LMT is a massage therapist in Aberdeen, SD. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Russell Ivan Kimball, LMT NPI is 1497390942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

202 S MAIN ST STE 450
ABERDEEN, SD
ZIP 57401-114
Phone: (605) 377-5930

The enumeration date for this NPI number is 11/7/2019 and was last updated on 11/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT11625SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/29/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.