Individual provider · Type 1 NPI

Kimo Cecil Collins, LMT

Massage Therapist · Roseburg, OR

NPI number 1821755174 Active

Practice location

727 SE Cass Ave Ste 308
Roseburg, OR 97470-4954

Call (541) 530-3016 Map

Mailing address

130 Harvest Ln
Roseburg, OR 97471-9269

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28013 (OR)

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 1821755174

Kimo Cecil Collins, LMT's National Provider Identifier is 1821755174, issued on Nov 22, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Roseburg, OR. The record was last updated on Nov 18, 2024.