Individual provider · Type 1 NPI

Russell Ivan Kimball, LMT

Massage Therapist · Aberdeen, SD

NPI number 1497390942 Active

Practice location

202 S Main St Ste 450
Aberdeen, SD 57401-4114

Call (605) 377-5930 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT11625 (SD)

Massage Therapist: 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.

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About NPI 1497390942

Russell Ivan Kimball, LMT's National Provider Identifier is 1497390942, issued on Nov 7, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Aberdeen, SD. The record was last updated on Nov 7, 2019.