MR. KIM EDWARD NISSEN M.A NPI 1861618027

NPI Information

MR. Kim Edward Nissen, M.A, is a massage therapist in Long Beach, CA. 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. MR. Kim Edward Nissen, M.A, NPI is 1861618027. 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:

440 REDONDO AVE STE 201
LONG BEACH, CA
ZIP 90814-145
Phone: (562) 209-5064
Fax: (562) 342-6496

The enumeration date for this NPI number is 4/17/2007 and was last updated on 3/12/2012.

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:

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