Doctor Name: | CAREY ANNE KIMBALL |
NPI Number: | 1275939175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | 327353-00 |
Business Practice Address: | 15 Cottage Street, Suite 5 Professional Massage And Skin Care Barre, VT - 05641 |
Business Phone Number: | 8025228976 |
Business Fax Number: | |
Mailing Address: | 15 Cottage Street, Suite 5, Professional Massage And Skin Care BARRE |
State: | VT |
Postal Code: | 05641 |
Phone Number: | 8025228976 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 327353-00 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |