Doctor Name: | KIRK DAVID HAMMEL |
NPI Number: | 1871724344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CMT |
License Number: | 576097-09 |
Business Practice Address: | 47964 Madeleine St Houghton, MI - 499312816 |
Business Phone Number: | 9062213102 |
Business Fax Number: | |
Mailing Address: | Po Box 290, DOLLAR BAY |
State: | MI |
Postal Code: | 499220290 |
Phone Number: | 9064830161 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2009 |
NPI Last Update Date: | 12/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 576097-09 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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. |