Individual provider · Type 1 NPI
Paul Clark Kimball, PhD, L.M.T.
Massage Therapist · Olney, MD
NPI number
1508467606
Active
Practice location
3631 Martins Dairy Cir
Olney, MD 20832-2451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M05490 (MD) |
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.
About NPI 1508467606
Paul Clark Kimball, PhD, L.M.T.'s National Provider Identifier is 1508467606, issued on Nov 4, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olney, MD. The record was last updated on Nov 4, 2020.